术前感染性指标检测结果分析探讨与反思  

Analysis and reflection of test results of preoperative infectious indicators

作　　者：徐军[1] 郝金奇[2] 余艳琴[2] 

机构地区：[1]包头医学院第一附属医院,内蒙古包头014040 [2]包头医学院公共卫生学院,内蒙古包头014040

出　　处：《中国医药导报》2012年第12期147-148,151,共3页China Medical Herald

摘　　要：目的探讨各年龄段患者术前感染性指标的患病率。方法采用酶联免疫试验(ELISA)法检测14 121例患者术前的甲型肝炎病毒抗体(抗HAV)、丙型肝炎病毒抗体(抗HCV)、人类免疫缺陷病毒(1/2)型抗体(抗HIV1/2)及梅毒螺旋体抗体(TPAb)。所有检测项目均严格按照试剂盒操作说明书进行,同时进行质量控制。结果 14 121例患者中,抗HAV阳性率为0.10%,抗HCV阳性率为0.59%,抗HIV1/2阳性率为0.05%,TPAb阳性率为1.33%,提示患者术前均有可能被传染性病症感染。结论术前为患者做甲肝、丙肝、人类免疫缺陷病毒、梅毒抗体检测,具有积极的意义,一方面是检查术前患者体质和手术适应证,二是保护性检测,防止医患纠纷。Objective To investigate the prevalence of preoperative infectious indicators of all ages patients.Methods The enzyme-linked immunosorbent assay（ELISA） was used to test the preoperative hepatitis A virus antibody（anti-HAV）,hepatitis C virus antibody（anti-HCV）,human immunodeficiency virus（1/2） antibody（anti-HIV1/2） and treponema pallidum antibodies（TPAb） among 14 121 patients.All test items were in strict accordance with the operating instructions of the kit under quality control.Results Among the 14 121 patients,the positive rate of anti-HAV was 0.10%,anti-HCV was 0.59%,anti-HIV was 0.05% and TPAb was 1.33%.This results indicated that all the patients had the potential to be infected with contagious diseases before surgery.Conclusion Preoperative detection of hepatitis C,HIV,syphilis,hepatitis A tests have positive significance,which can check the patients＇ physique and surgical indications on the one hand and can prevent medical dispute with protective detection on the other hand.

关 键 词：术前 甲肝病毒 丙肝病毒 人类免疫缺陷病毒 梅毒 

分 类 号：R512[医药卫生—内科学]