输血或术前患者HBsAg、HCV-Ab、TPPA及HIV-Ab水平检测及意义  

Clinical Significance of HBsAg HCV-Ab TPPA and HIV-Ab Levels in Patients Before Blood Transfusion or Surgery

作　　者：胡赟 秦然 HU Yun;QIN Ran(The Second People's Hospital of Tongzhou District,Nantong,Jiangsu 226300,China;The People's Hospital of Tongzhou District,Nantong,Jiangsu 226300,China)

机构地区：[1]南通市通州区第二人民医院,江苏南通226300 [2]南通市通州区人民医院,江苏南通226300

出　　处：《大医生》2019年第22期171-173,共3页Doctor

摘　　要：目的分析输血或术前患者乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(HCV-Ab)、梅毒螺旋体抗体(TPPA)以及人类免疫缺陷病毒抗体(HIV-Ab)水平临床检测意义。方法回顾性分析2018年1月至12月在南通市通州区第二人民医院拟实施输血或术前280例患者作为研究对象。观察并比较血清HBsAg、HCV-Ab、TPPA以及HIV-Ab阳性率;比较男女、不同年龄段男女及同一年龄段男女感染指标阳性率。结果280例血清标本四项感染指标中,阳性率为12.14%;其中TPPA阳性率为8.93%,HCV-Ab阳性率为1.43%,HBsAg阳性率为1.79%,HIV-Ab阳性率为0.00%。参与研究患者中男性TPPA阳性率13.24%明显高于女性TPPA阳性率4.86%(P<0.05)。男性群体中,<20岁及≥60岁年龄段患者的TPPA、HCV-Ab、HBsAg阳性率均低于20~60岁年龄段患者(P<0.05);女性群体中,<20岁及≥60岁年龄段患者HBsAg阳性率均低于20~60岁年龄段患者(P<0.05)。结论患者输血或术前检测HBsAg、HCV-Ab、TPPA及HIV-Ab传染病指标利于疾病诊治,还能够让患者及其家属明确传染病是否来源于医院输血或手术治疗,减少医疗纠纷的发生。Objective Analyze the significance of clinical detection of HBsAg,HCV-Ab,TPPA and HIV-Ab levels in patients before blood transfusion or surgery.Methods A retrospective study was performed on 280 patients from January to December 2018 at the Second People's Hospital of Tongzhou District,Nantong City before the proposed blood transfusion or surgery.Compared the positive rates of the serum HBsAg,HCV-Ab,TPPA and HIV-Ab,the positive rates of male and female,male and female of different ages,male and female of the same age.Results Among 280 serum samples,the positive rate was 12.14%.Among them,the positive rate of TPPA was 8.93%,the positive rate of HCV-Ab was 1.43%,the positive rate of HBsAg was 1.79%,and the positive rate of HIV-Ab was 0.00%.The positive rate of male TPPA in the participating patients was 13.24%,which was significantly higher than that of female TPPA 4.86%(P<0.05).Among male groups,the positive rate of TPPA,HCV-Ab,HBsAg in patients under the age of 20 years and over 60 years were lower than those in 20~60 age groups(P<0.05);Among female groups,the positive rate of HBsAg in patients under the age of 20 years and over 60 years were lower than that in the 20~60 age groups(P<0.05).Conclusion The detection of HBsAg、HCV-Ab、TPPA及HIV-Ab before blood transfusion or operation is not only beneficial to the diagnosis and treatment of the disease,but also can allow the patients and their families to determine whether their infectious diseases come from hospital blood transfusion or operation treatment,reduce the occurrence of medical disputes.

关 键 词：传染病指标 输血 手术 感染 HBSAG HCV-AB TPPA HIV-AB 

分 类 号：R44[医药卫生—诊断学]