患者输血前感染性指标的检测结果及其意义

Detection Results and Significance of Pre-Transfusion Infection Indicators

目的探讨患者输血前感染性指标的检测结果和临床意义。方法对解放军第180医院2010年1月到2012年12月收治的1500例输血患者的乙肝表面抗原(HBsAg)、丙型肝炎病毒抗体(抗-HCV)、艾滋病病毒抗体(抗-HIV)和梅毒螺旋体抗体(抗-TP)水平进行测定,并探究其临床意义。结果通过测定分析,HBsAg、抗-HCV、抗-HIV与抗-TP的阳性率分别为12.0%、0.67%、0.2%、1.1%。不同年份间HBsAg、抗-HCV、抗-HIV、抗-TP阳性率比较明显有统计学意义(χ2=6.14,6.20,7.13,7.33,P<0.05)。结论在输血前对其感染性指标进行检测,能够有利于预防患者发生感染性疾病,并降低院内感染的情况发生,有效降低医疗纠纷,在临床中具有重要的实际意义。

Objective To investigate the detection resuh and the clinical significance of pre-transfusion infection indicators. Methods A total of 1500 cases of blood transfusion patients from PLA 180th Hospital during Jan. 2010 and Dec. 2012 were tested hepatitis B surface antigen （HbsAg）, HCV antibody （HCVAb）, HIV antibody （HIVAb） and treponema palladiums antibody （TPAb）, and the clinical significance was explored. Results Through the tests, HBsAg, HCVAb, HIVAb and TPAb positive rates were 12. 0%, 0.67% ,0.2% ,1. 1%. HBsAg and HCVAb and HIVAb and TPAb positive rates of different years were statistically significantly different（χ^2 =6.14,6.20,7.13,7.33 ,P 〈0.05）. Conclusion Detection of the infection indexes before blood transfusion can be beneficial for the prevention of infectious diseases, and reduce the incidence of nosocomial infection, effectively reducing the medical disputes, which has important practical significance in clinical.