医院输血感染情况分析  

Status of Blood Transfusion Infection in Hospital

作　　者：张荣[1] 任天红[1] 刘洋[1] 

机构地区：[1]石家庄市第三医院检验科,石家庄050000

出　　处：《医学综述》2015年第5期941-942,共2页Medical Recapitulate

摘　　要：目的对医院输血感染情况进行评估和分析,探讨控制输血感染的措施。方法选择2010年5月至2013年5月石家庄市第三医院各科室收治的5215例需要输血的患者为受血组,选择同期40 380例无偿献血者为献血组。比较两组人员血液中抗-丙型肝炎病毒(HCV)、乙型肝炎表面抗原(HBs Ag)以及梅毒抗体情况以及各科室的感染情况。结果受血组HBs Ag、抗-HCV及梅毒抗体的阳性率均显著高于献血组(χ2=1365.06,47.09,29.76,P<0.05);受血组感染的总阳性率显著高于献血组(χ2=1182.82,P<0.05),其中内科、外科、肿瘤科、血液科的感染率较高。结论临床应制订严格的输血管理规范,加大医护人员培训力度,推行科学的用血措施,建立和健全输血保险管理机制,不断提高临床输血安全性。Objective To analyze and assess the infection status of blood transfusion in hospital ,and explore the infection control measures.Methods Total of 5215 patients requiring blood transfusion in Shiji-azhuang Third Hospital of Shijiazhuang from May 2010 to May 2013 was included as the blood-receiving group, and 40 380 blood donation people during the same period were included as blood donation group .The positive rates of blood anti-HCV,HBsAg and syphilis antibody of the two groups, as well as infection status of different departments of the hospital were compared.Results The positive rates of HBsAg,anti-HCV and syphilis antibody of the blood-receiving group were significantly higher than that of the blood donation group （χ2 =1365.06,47.09,29.76,P〈0.05）,the total infection positive rate was significantly higher than blood donation group too（χ2 =1182.82,P 〈0.05）,and the infection rate of department of internal medicine, department of surgery,department of oncology and department of hematology were higher.Conclusion Rig-orous transfusion management standard should be established ,health care training to medical staff should be strengthened,scientific blood transfusion measure should be implemented ,and transfusion insurance manage-rial mechanism should be set up and improved,so as to improve the clinical transfusion safety.

关 键 词：输血 风险 防范措施 

分 类 号：R18[医药卫生—流行病学]