宁南医院住院患者术前、产前乙型肝炎表面抗原检测结果分析

Analysis on Preoperative and Prenatal Testing Results of HBsAg in Inpatients of Ningnan Hospital

目的分析宁南医院住院患者术前、产前乙型肝炎表面抗原(HBsAg)的检测结果,了解手术科室患者乙型肝炎病毒感染情况,为临床乙肝预防和控制提供参考依据。方法采用全自动化学发光微粒子免疫法(CMIA)对2018年1月至2019年12月宁南医院住院患者4562例术前、产前进行HBsAg定量检测,并对检测结果进行回顾性分析。结果 4562例术前、产前患者HBsAg阳性373例,2018年和2019年HBsAg阳性率分别为8.26%和8.11%;不同性别HBsAg阳性率比较差异有统计学意义(P<0.05);5个年龄段中HBsAg阳性率分别为2.04%、9.64%、10.48%、8.33%、3.21%,差异有统计学意义(P<0.05)。结论宁南医院患者中HBsAg阳性占有较高比例,20~79岁为乙肝防治的重点人群,加强术前、产前患者HBsAg的筛查,对预防和控制医源性感染具有重要意义。

Objective To analyze the preoperative and the prenatal testing results of HBs Ag in patients of Ningnan Hospital,and to know Hepatitis B infection of the patients in the operation department,so as to provide basis for the prevention and control of Hepatitis B. Methods HBs Ag were measured by chemiluminescent immunoassay in preoperative and prenatal patients(4562)from January. 2018 to December 2019 in Ningnan Hospital,and the results were analyzed retrospectively. Results Totally 373 positive cases of HBs Ag were confirmed in 4562 preoperative and prenatal patients,among which the positive rates of 2018 and 2019 were 8.26% and 8.11%. There was significant difference between male and female(P<0.05). The positive rates of five groups were 2.04%,9.64%,10.48%,8.33% and 3.21%,with statistically significance(P < 0. 05).Conclusion The patients with positive HBs Ag have a high proportion in Ningnan Hospital,the 20-79 years population should be considered for control and prevention of Hepatitis B. Screening HBs Ag in preoperative and prenatal patients is very meaningful to prevent and control iatrogenic infection.