外科医师乙肝病毒职业感染监控方法评价  

Evaluation on Supervising and Controlling Measures of HBV Occupation Infection among Surgeons

作　　者：孙佩[1] 石海明[1] 姜旻岚[1] 宫丽莉[1] 杨双旺[1] 

机构地区：[1]解放军第454医院医务处,南京210002

出　　处：《解放军医院管理杂志》2008年第4期329-330,334,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的:评价一种新的手术中HBV传染源监控方法的防护效果。方法:在与现行HBV传染源监控方法比较的基础上,从HBV传染源控制费用和效果两方面评价新方法的防护效果。结果:现行方法以HBsAg为HBV传染源监测指标,80.8%的HBsAg携带者防护过度,14.7%为防护无效。新方法在外科医师普遍接种乙肝疫苗的基础上,以HBeAg为HBV传染源监测指标,防护过度率下降到19.2%,防护无效率为零。新方法的防护过度率和防护无效率均非常显著地低于现行方法。结论:新方法在节省防护费用80.2%同时,使外科医师感染HBV的危险性下降为零,是当前手术中理想的监控方法。Objective： To evaluate the prevention and protection effects of HBV infective source in a new precautionary measure. Methods： On the basis of the comparison of the new measure and the current measure which is used to supervise and control HBV infective source, the protective effect was evaluated with two aspects as the cost and the effect of the control. Results： In current measure, HBsAg is used to supervise and control HBV infection source during surgical operation. 80.8 % HBsAg carriers are overprotected, and 14.7% are ineffectively protec- ted. On the basis of inoculating HBV vaccine among surgeong, the new measure used HBeAg as screening mark. The ratio of overprotection had descended to 19.2%, and the ratio of ineffectively protection been zero. The overprotective ratio and the ineffectively protective ratio of new measure were lower than those of current measure remarkably. Conclusion： With new precautionary measure, the risk of surgeon infected by HBV reduces to zero, and 80.2% protective cost can be saved. For these reasons, the new measure will be an ideal measure to supervise and control HBV infective source during surgical operation.

关 键 词：乙型肝炎病毒 手术 医院感染 

分 类 号：R197.32[医药卫生—卫生事业管理]