1200例手术及输血前患者8项感染指标检验的临床意义研究  

Clinical significance of 8 indicators of infection in 1200 patients before surgery and blood transfusion

作　　者：范晓娟 陈富强[2] FAN Xiaojuan;CHEN Fuqiang(Department of Laboratory Medicine,Blood Station,Rizhao City Center,Rizhao,Shandong,276800,China;Department of Laboratory Medicine,Shandong Blood Center,Ji'nan,Shandong,250014,China)

机构地区：[1]日照市中心血站检验科,山东日照276800 [2]山东省血液中心检验科,山东济南250014

出　　处：《当代医学》2022年第31期109-112,共4页Contemporary Medicine

摘　　要：目的探讨1200例手术及输血前患者接受8项感染指标检验的临床意义。方法回顾性分析2020年4—10月本院收治的1200例手术及输血前患者,检验患者的8项感染指标,分析检验结果。结果1200例手术及输血前患者中乙型肝炎核心抗体的检出率最高,占比56.42%;男性患者感染指标检出率均明显高于女性患者(P<0.05);年龄<60岁患者的乙型肝炎表面抗原、人类免疫缺陷病毒、乙型肝炎E抗原及乙型肝炎表面抗体指标检出率均高于≥60岁患者(P<0.05);年龄<60岁患者丙型肝炎病毒抗体、梅毒螺旋体抗体、乙型肝炎E抗体、乙型肝炎核心抗体指标检出率均低于≥60岁患者(P<0.05)。结论8项感染指标检验受年龄及性别的影响分布不同,手术及输血前对患者进行8项感染指标检验可加强临床用血安全性,预防血液传播性疾病的出现,减少医疗纠纷发生,具有较高的临床价值。Objective To explore and analyze the clinical significance of 1200 patients undergoing 8 indicators of infection before surgery and blood transfusion.Methods A retrospective analysis was performed on 1200 patients admitted to our hospital from April to October 2020 before surgery and blood transfusion,the patients were tested for 8 indicators of infection and the final test results perform analysis.Results The detection rate of hepatitis B core antibody was the highest among 1200 patients before surgery and blood transfusion,accounting for 56.42%;the detection rate of other infection indexes in male patients was all significantly higher than that in female patients(P<0.05);the detection rate of hepatitis B surface antigen,human immunodeficiency virus,hepatitis B E antigen and hepatitis B antigen infection indexes in patients aged<60 years old is significantly higher than that in patients≥60 years old(P<0.05);The detection rates of hepatitis C virus antibody,treponema pallidum antibody,hepatitis B E antibody and hepatitis B core antibody in patients<60 years old were lower than those in patients≥60 years old(P<0.05).Conclusion Before surgery and blood transfusion,8 indicators of infection are performed on patients,which are affected by age and gender,the test can enhance the safety of clinical blood use,prevent the emergence of blood-borne diseases,and reduce the occurrence of medical disputes,it has high clinical value is obvious.

关 键 词：手术及输血前 人类免疫缺陷病毒 乙型肝炎表面抗原 乙型肝炎抗原 性别 

分 类 号：R457.1[医药卫生—治疗学]