620例拟受血者八项传染性标志物检测结果分析

Analysis of eight markers related to infectious diseases before blood transfusion: a report of 620 cases

目的:对拟受血者进行输血前相关病原学标志物的检测,了解患者输血前传染病的感染情况,避免和预防患者医院感染、医务人员职业感染及防止医疗纠纷。方法:对620例拟受血者采用ELISA法检测乙型肝炎病毒两对半(HBsAg、抗-HBs、HBeAg、抗-HBe、抗-HBc)、丙型肝炎病毒抗体(抗-HCV)、人类免疫缺陷病毒抗体(抗-HIV)以及梅毒螺旋体抗体(抗-TP)。结果:620例拟受血者中HBsAg、抗-HCV、抗-HIV、抗-TP阳性率分别为8.71%、1.77%、0.16%、1.94%。结论:检测拟受血者输血前相关病原学标志物对了解受血者输血前感染状况,确保输血安全,减少医疗纠纷,预防医院感染具有重要临床意义。

Objective：To investigate the infection status of infectious diseases in patients before blood transfusion so as to prevent hospital infection,infection of the occupational health care workers and medical disputes due to blood transfusion. Methods：Six hundred and twenty blood recipients were measured of the contagious serum markers including HBV markers（HBsAg,anti-HBs,HBeAg,anti-HBe,anti-HBe） , anti-HCV, anti-HIV and anti-TP with ELISA before blood transfusion. Results：The positive rates of HBsAg, anti-HCV,anti-HIV and anti-TP in the 620 patients before blood transfusion were 8. 71%,1. 77%,0. 16% and 1. 94%, respectively. Conclusions：It is of great clinical significance to test the contagious serum markers of the blood receivers before blood transfusion, which can reveal the condition of the blood recipients, ensure the safety of blood transfusion, decrease medical dissatisfaction and prevent hospital infection.