输血前4项感染性指标的结果分析及其临床意义

Result analysis and clinical significance of pre-transfusion four infectious indications

目的：了解患者相关感染性指标的感染情况,探讨其临床意义。方法：调阅安徽医科大学第一附属医院36 348例感染性指标检测病例,按分组要求统计乙型肝炎表面抗原（HBsAg）,丙型肝炎病毒抗体（抗-HCV）,人类免疫缺陷病毒抗体（抗-HIV1/2）,梅毒螺旋体抗体（抗-TP）的比率。结果：36 348例患者的HBsAg,抗-HCV,抗-HIV1/2,抗-TP阳性率分别为8.47%,0.41%,0.07%,1.46%;其中5 069例门诊患者总阳性率为9.28%,31 279例住院患者总阳性率10.60%,外科组与内科组患者总阳性率分别为10.27%,11.81%;年龄〈45岁组,45-59岁组和〉59岁组的总阳性率分别为8.66%,13.35%,11.00%。结论：对感染性指标的检测,有利于预防医源性感染,对感染患者进行特殊护理,预防和减少患者间交叉感染。

Objective：To understand the positive rate of the relevant infectious indicators of patients and investigate its clinical significance.Method：36 348 cases of infection indicators were retrieval from the hospital,and the positive rate of hepatitis B surface antigen（HBsAg）,Hepatitis C virus antibody（Anti-HCV）,human immunodeficiency virus antibody（Anti-HIV1/2）and Treponema pallidum antibodies（Anti-TP）were analyzed according to the group requirement.Result：The positive rates of HBsAg,anti-HCV,anti-HIV1/2,and anti-TP of 36,348 patients were 8.47%,0.41%,0.07%,and 1.46%,respectively.The total positive rate of 5,069 outpatients and31279hospitalized patients were 9.28% and 10.60%,respectively.The total positive rate of the surgical group and the medication group were 10.27% and 11.81%,respectively.The total positive rate of the group of younger than 45 years group,between 45 to 59years group and more than 59-year-old group were 8.66%,13.35% and11.00%,respectively.Conclusion：The detection of the infectious indicators could help to prevent nosocomial infection,on the other hand,the special care of the infected patients could prevent and reduce cross-infections among patients.