血清感染性指标在手术前和输血前检测的意义

The significance of the preoperative or pre-blood-transfusion lab examinations of infection

目的探讨手术前和输血前相关传染病的感染状况及临床价值。方法对手术前和输血前患者采集静脉血检测血清中乙肝表面抗原(HBsAg)、丙型肝炎病毒抗体(抗-HCV)、梅毒螺旋体抗体(抗-TP)和人类免疫缺陷病毒抗体(抗-HIV1+2),并将结果进行统计分析。结果 10 143例患者手术前和输血前4项感染指标检测结果总阳性率为10.36%(1051/10 143);其中以HBsAg阳性率最高,占8.64%(876/10 143);抗-HIV1+2次之,占0.53%(54/10 143);抗-TP第3,占0.45%(46/10 143);抗-HCV最少,占0.35%;2项及2项以上阳性者占0.39%(40/10 143)。结论部分患者在手术前和输血前已感染相关传染性疾病,血清感染性指标的检测对保护患者、医疗机构、供血单位和医院感染控制管理等都具有重要意义。

Objective To explore the epidemiological condition and clinical value of pre-operative and pre-blood-transfu- sion disease. Methods The venous blood of the preoperative or pre-blood-transfusion patients was collected. The serum was isolated for the test of hepatitis B virus surface antigen （HBsAg）, hepatitis C virus antibody （anti-HCV）, treponema pallidum antibody（anti-TP） and human immunodeficiency virus antibody（anti-HIV1 ＋2）. The result was analyzed statis- tically. Results Of the 10 143 cases, the total positive ratio was 10.36% （ 1051/10 143）. The HBsAg positive rate ranked first（8.64% ,876/10 143）, the anti-HIV1 ＋ 2 ranked second （0.53% ,54/10 143 ）, the anti-TP ranked third （0.45% ,46/10 143 ） ,two or over two items positive rate ranked forth（0.39% ,40/10 143） ,and anti-HCV ranked last. Conclusion Part of the patients had already been infected before the operation or blood transfusion. The lab examina- tions of the infection were of great significance to the patients protection, clinical institutions, blood-supply institutions and hospital infection control.