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作 者:王静[1]
机构地区:[1]河南焦作市第二人民医院输血科,河南焦作454001
出 处:《中国继续医学教育》2016年第24期38-40,共3页China Continuing Medical Education
摘 要:目的 探析血清感染性指标在患者手术前和输血前检测中的应用价值。方法 分析2014年4月~2016年5月在我院接受手术及输血前4 346例患者的HBs Ag、抗-HCV、抗-HIV和抗-TP检测水平,并探析其临床价值。结果 男性患者的HBs Ag、抗-HCV、抗-HIV、抗-TP四项感染指标的总阳性率(13.73%)显著高于女性患者(11.35%)(P〈0.05)。超过56岁患者的4项感染性指标的总阳性率,明显高于其他两组(P〈0.05);而Hbs Ag阳性率随着患者年龄增加而逐渐升高,而其余3项指标在3个年龄组中无明显差异(P〉0.05)。结论 及早检测手术前、输血前患者的4项感染性指标,有助于准确诊治患者,并降低因输血引发的医疗纠纷。Objective To analyze testing the application value of serum index in patients before surgery and blood transfusion.Methods 4 346 cases before surgery and blood transfusion in April 2014 - May 2016 in our hospital were selected and HBsAg, anti - HCV, anti - HIV and anti - TP levels were analyzed. The clinical value was explored.Results Total four measures of infection positive rate of HBsAg, anti - HCV, anti - HIV, anti –TP(13.73%) in male patients was signiifcantly higher than female patients (11.35%) (P〈0.05). More than 56-year-old patients of four total positive rate of infectious indicators, was significantly higher than the other two groups (P〈0.05); And HbsAg positive rate increased with age, and the rest 3 indicators in the three age groups had no obvious difference (P〉0.05). Conclusion Early detection of 4 infectious parameters before and after transfusion, help to accurately diagnosis and treatment of patients, and reduce the medical disputes caused by blood transfusion.
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