患者输血前传染病指标检测结果分析

Patients Before Transfusion Infectious Disease Test Results of the Analysis

目的分析患者输血前相关传染病指标检测结果 ,增强医务人员的自我保护意识、生物防护意识,尽可能防止发生医疗纠纷事件以及医院感染。方法随机抽取该院1994例输血患者作为该次研究对象,在输血前通过酶联免疫吸附试验(ELISA)法检测患者的梅毒螺旋体抗体(抗-TP)、艾滋病抗体(抗-HIV)水平,通过时间分辨荧光法检测患者的丙型肝炎病毒抗体(抗-HCV)、乙型肝炎表面抗原(HBs Ag)水平,对比以上4项指标检测阳性率以及不同性别输血患者传染指标的阳性检测率。结果该次研究患者输血前,185例检出HBs Ag阳性,阳性检出率为9.28%;19例检出抗-HCV阳性,阳性检出率为0.95%;21例检出抗-TP阳性,阳性检出率为1.05%;1例检出抗-HIV阳性,阳性检出率为0.05%。HBs Ag男性患者阳性检出率(8.19%)显著高于女性(8.19%),差异有统计学意义(P<0.05)。男性、女性抗-HCV阳性检出率、抗-HIV阳性检出率以及抗-TP阳性检出率差异无统计学意义(P>0.05)。结论患者输血前一定要检测相关的传染病指标水平,这样便于及早诊断,及时采取有效、正确的治疗措施,尽可能降低医院感染发生率,避免医疗纠纷事件的发生。

Objective Through investigation and analysis of patients before transfusion related infectious disease index test results, enhanced medical personnel＇s awareness of self-protection, biological protection awareness, as far as possible to prevent the occurrence of medical disputes and hospital acquired infections. Methods Randomly selected from our hospital1994 cases blood transfusion patients as the research object, in front of the blood transfusion by enzyme linked immunosorbent assay（ELISA） method was used to detect the patients of Treponema pallidum antibody（anti TP）, HIV antibody（anti HIV） level, by time resolved fluorescence method in the detection of patients with hepatitis C virus antibody（anti HCV）,hepatitis B surface antigen（HBs Ag） levels, in contrast to more than four indicators of positive detection rate and different gender of blood transfusion in patients with infectious indicators of positive detection rate. Results The study patients before transfusion, 185 cases of detection HBs Ag positive, the positive rate was 9.28%; 19 cases patients were positive for anti HCV positive, the positive rate of 0.95%; 21 cases were detected anti TP positive, the positive rate was 1.05%; 1 patient was detected HIV positive, the positive rate was 0.05%. The positive rate（8.19%） of HBs Ag in male patients was significantly higher than that in female（8.19%）, and the difference was statistically significant（P0.05）. The positive rate of anti-HCV, anti-HIV positive rate and anti-TP positive rate were not significantly different between males and females（P〉0.05）. Conclusion Patients before blood transfusion must be related to infectious disease index level detection, so it is easy to early diagnosis, timely and correct and effective treatment measures, as far as possible to reduce the incidence of nosocomial infection, avoid the occurrence of medical disputes.