浙江省杭州市595例无主患者4种感染性血清标志物检测结果分析  

Investigation of serologic markers of hepatitis B,hepatitis C,syphilis and AIDS in 595 nameless patients in Hangzhou

作　　者：钟春燕[1] 陈宝炳[1] 陈君[1] 陈松[1] ZHONG Chun-yan CHEN Bao-bing CHEN Jun CHEN Song.(The Third People＇s Hospital of Hangzhou, Hangzhou 310009, Zhejiang, China)

机构地区：[1]杭州市第三人民医院,浙江杭州310009

出　　处：《疾病监测》2017年第4期300-302,共3页Disease Surveillance

摘　　要：目的了解浙江省杭州市无主患者乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒螺旋体(TP)及人类免疫缺陷病毒(HIV)的感染状况。方法对2015年1-12月杭州市第三人民医院收治的595例无主患者,进行血清HBV表面抗原(HBsAg)、HCV抗体(抗-HCV)、TP抗体(抗-TP)检测以及HIV抗体(抗-HIV)筛查及确认试验,并对结果进行统计分析。结果 595例无主患者中,HBsAg阳性63例(10.59%),抗-HCV阳性19例(3.19%),抗-TP阳性29例(4.87%),抗-HIV阳性4例(0.67%),均高于普通住院患者,其中抗-HCV及抗-TP阳性率差异有统计学意义(χ~2=5.765,P=0.016;χ~2=14.053,P=0.001)。不同性别及年龄段无主患者4种血清标志物的阳性率差异均无统计学意义(P>0.05)。结论对无主患者进行HBsAg、抗-HCV、抗-TP及抗-HIV检测对减少医疗纠纷及加强医护人员自我保护意识、降低职业暴露风险具有重要意义。Objective To understand the infection status of HBV, HCV, Treponema pallidum and HIV in narueless patients in Hangzhou. Methods The serum HBsAg, anti-HCV, anti-TP and anti-HIV of 595 nameless patients treated in our hospital during January-December 2015 were tested and analyzed. Results Among the 595 patients, there were 63 were HBsAg positive （ 10. 59% ）, 19 were anti-HCV positive （3. 19% ）, 29 were anti-TP positive （4. 87% ） and 4 were anti-HIV positive （0. 67% ）. Compared with the control group （normal in-patients）, the differences in anti-HCV positive rate and anti-TP positive rate were significant （χ2 = 5. 765, P = 0. 016 ;χ2 = 14. 053, P = 0. 001 ）, but there were no gender and age specific significant differences in the positive rates of four serologic markers. Conclusion Detections of serum HBsAg, anti-HCV, anti-TP and anti-HIV in nameless patients is important to reduce the medical disputes and reduce the risk of occupational exposure in physicians.

关 键 词：无主患者 乙型肝炎病毒表面抗原 丙型肝炎病毒抗体 梅毒抗体 人类免疫缺陷病毒抗体 

分 类 号：R446.6[医药卫生—诊断学]