屈光手术患者术前四项感染性指标检测结果分析  

Analysis on Preoperative Testing Results of Four Infectious Indicators in Patients Undergoing Refractive Surgery

作　　者：肖杰 韩小玲 Xiao Jie;Han Xiaoling(Department of Clinical Laboratory,Aier Eye Hospital,Wuhan University,Wuhan 430060,Hubei Province,China)

机构地区：[1]武汉大学附属爱尔眼科医院检验科,湖北武汉430060

出　　处：《中国社区医师》2024年第10期92-94,共3页Chinese Community Doctors

摘　　要：目的:分析屈光手术患者术前四项感染性指标检测结果,规范手术管理。方法:选取2022年7月—2023年6月于武汉大学附属爱尔眼科医院屈光专科行屈光手术的8 955例患者作为研究对象,术前均行血清乙型肝炎表面抗原(HBsAg)、丙型肝炎病毒抗体(HCV-Ab)、梅毒螺旋体抗体(TP-Ab)、人类免疫缺陷病毒抗原抗体(HIV-Ag/Ab)检测,统计患者四项感染性指标阳性率,比较不同性别、年龄段屈光手术患者四项感染性指标阳性率。结果:8 955例患者四项感染性指标总阳性率为3.72%(333/8 955),其中HBsAg阳性率最高,为2.83%(253/8 955)。男性患者四项感染性指标总阳性率低于女性患者,差异有统计学意义(P<0.001)。≥31岁患者四项感染性指标总阳性率高于21~30岁、≤20岁患者,21~30岁患者四项感染性指标总阳性率高于≤20岁患者,差异有统计学意义(P<0.05)。结论:屈光手术患者术前进行感染性指标检测,有助于了解其感染状态,降低手术源性感染风险,提高手术安全性,保障医务人员和其他患者安全,避免医疗纠纷。Objective:To analyze the testing results of preoperative four infectious indicators in patients undergoing refractive sur-gery,and standardize surgical management.Methods:A total of 8955 patients who underwent refractive surgery in the Refraction Department of Aier Eye Hospital of Wuhan University from July 2022 to June 2023 were selected as the study subjects.Before sur-gery,all patients were tested for serum hepatitis B surface antigen(HBsAg),hepatitis C antibody(HCV-Ab),Treponema pallidum specific antibody(TP-Ab)and human immunodeficiency virus antigen antibody(HIV-Ag/Ab).The positive rates of the four infec-tious indicators were counted,and the positive rates of the four infectious indicators of patients of different genders and at different ages who underwent refractive surgery were compared.Results:The total positive rate of the four infectious indicators in 8955 pa-tients was 3.72%(333/8955),and the positive rate of HBsAg was the highest,accounting for 2.83%(253/8955).The total positive rate of the four infectious indicators in male patients was lower than that in female patients,and the difference was statistically sig-nificant(P<0.001).The total positive rate of the four infectious indicators in patients aged≥31 years was higher than that in pa-tients aged 21-30 years and≤20 years,and the total positive rate of the four infectious indicator in patients aged 21-30 years was higher than that in patients aged≤20 years,and the difference was statistically significant(P<0.001).Conclusion:Preoperative testing of infectious indicators in patients undergoing refractive surgery helps understand the infection status of patients,reduce the risk of surgery-derived infection,ensure the safety of medical staff and other patients,and avoid the medical disputes.

关 键 词：屈光手术 乙型肝炎表面抗原 丙型肝炎病毒抗体 梅毒螺旋体抗体 人类免疫缺陷病毒抗原抗体 

分 类 号：R446.6[医药卫生—诊断学]