输血前检查受血者传染性疾病感染指标及意义探究  

Detection of Infectious Disease Infection Index of Blood Recipients Before Blood Transfusion and its Significance

作　　者：林先娘 赖寒光 杨晓明[1] 邓亚[1] LIN Xianniang;LAI Hanguang;YANG Xiaoming;DENG Ya(Department of Blood Transfusion,Sanming Second Hospital,Sanming Fujian 366000,China)

机构地区：[1]三明市第二医院输血科,福建三明366000

出　　处：《中国卫生标准管理》2021年第21期114-117,共4页China Health Standard Management

摘　　要：目的探讨输血前检查受血者传染性疾病感染指标及其意义并进行分析。方法选择医院于2018年1月—2019年12月收治的7200例接受输血治疗的患者作为研究对象,对其进行免疫荧光分析法以及化学发光免疫分析法进行检测,对患者输血前进行乙肝表面抗原(hepatitis B surface antigen,HBsAg)、免疫缺陷病毒抗体(HIV抗体)、丙肝病毒抗体(hepatitis C virus antibody,HCV抗体)以及梅毒(TRUST)进行检测,分析并记录接受输血治疗的患者其检查的阴性以及阳性情况。结果在7200例接受输血治疗患者的传染性指标检查结果中,乙肝表面抗原(HBsAg)呈阳性的患者有2113例,占比29.35%;丙肝病毒抗体(HCV抗体)呈阳性的患者有32例,占比0.44%;免疫缺陷病毒抗体(HIV抗体)呈阳性的患者有25例,占比0.35%;梅毒(TRUST)试验呈阳性的患者有502例,占比6.97%;接受输血治疗患者阳性结果输血史情况为:有既往输血史患者HBsAg阳性有1649例,无既往输血史患者HBsAg阳性有464例;有既往输血史患者HCV抗体阳性有25例,无既往输血史患者HCV抗体阳性有7例;有既往输血史患者HIV抗体阳性有20例,无既往输血史患者HIV抗体阳性有5例,说明有既往输血史患者发生感染更高。结论对接受输血治疗的患者实施相关感染指标检测,可降低患者因输血治疗而导致传染性疾病的发生,具有一定的价值和意义,可有效降低医疗纠纷的发生。Objective To investigate and analyze the infectious disease infection index of blood recipients before blood transfusion and its significance.Methods 7200 patients who received blood transfusion treatment in our hospital from January 2018 to December 2019 were selected as the research objects,and the immunofluorescence analysis and chemiluminescence immunoassay were used to detect the hepatitis B surface antigen(HBsAg),immunodeficiency virus antibody(HIV antibody),hepatitis C virus antibody(HCV antibody)and syphilis(TRUST)to test before blood transfusion,analyzed and recorded the negative and positive conditions of the patients receiving blood transfusion treatment.Results In 7200 cases of patients receiving blood transfusion,2113 cases were HBsAg positive,accounting for 29.35%;32 cases were HCV antibody positive,accounting for 0.44%;25 cases were HIV antibody positive,accounting for 0.35%;502 patients with syphilis(TRUST)test was positive,accounting for 6.97%;patients receiving blood transfusion treatment had positive results:1649 patients with previous blood transfusion history were HBsAg positive,464 patients without previous blood transfusion history were HBsAg positive;25 cases were HCV antibody positive in patients with previous blood transfusion history,7 cases were HCV antibody positive in patients without previous blood transfusion history;20 cases were HIV antibody positive in patients with previous blood transfusion history,5 HIV antibody positive patients with no previous blood transfusion history,it shows that patients with a history of blood transfusion have a higher incidence of infection.Conclusion The implementation of infection index detection in patients receiving blood transfusion treatment can reduce the occurrence of infectious diseases caused by blood transfusion treatment,which has certain value and significance,and can effectively reduce the occurrence of medical disputes.

关 键 词：输血前 传染性疾病 感染指标 受血者 梅毒 丙肝病毒抗体 

分 类 号：R446[医药卫生—诊断学]