受血者输血前血清感染性指标的检测及临床意义

发布时间：2018-01-07 16:18

本文关键词：受血者输血前血清感染性指标的检测及临床意义　出处：《中华医院感染学杂志》2016年15期 　论文类型：期刊论文

【摘要】：目的研究受血者输血前血清感染性指标的检测及意义,为提高输血合格率提供参考依据。方法选取2014年12月-2015年12月医院诊治11 279例患者资料进行分析,入选患者均需输血治疗,采用化学发光法对患者血清感染性指标进行检测,分析受血者输血前血清感染性指标检测的临床意义及价值,数据采用SPSS 18.0软件进行统计分析。结果 11 279例患者中有648例相关传染指标阳性,阳性率5.75%,排前两位的分别为:乙型肝炎病毒表面抗原和艾滋病病毒抗体,分别占5.04%和0.58%;苍白密螺旋体抗体阳性患者主要集中在妇科,占58.34%;乙型肝炎病毒表面抗原阳性数主要分布在外科和内科,分别占34.62%和24.96%;艾滋病病毒抗体阳性患者主要集中在外科和内科,分别占32.31%和24.62%;丙型肝炎病毒抗体阳性患者主要集中在产科,占100.0%。结论输血患者输血前血清感染性检测指标存在一定的阳性率,患者输血前应该加强血清感染性指标检测,及时发现感染源,降低感染率。
[Abstract]:Objective to study the detection and significance of blood infection indexes of serum before blood transfusion, and to provide reference for improving the qualified rate of blood transfusion. Methods from December 2014 -2015 year in December the hospital diagnosis and treatment of 11279 cases of patients were analyzed retrospectively, all patients required blood transfusion treatment, chemiluminescence was used to detect the serum indicators of infection, analysis and clinical significance the value of detection of infectivity index in serum of blood recipients before transfusion, SPSS 18 software was used for statistical analysis. Results in 11279 cases, 648 Cases of infectious index were positive, the positive rate was 5.75%, the top two were: hepatitis B virus surface antigen and HIV antibody, respectively accounted for 5.04% and 0.58%; pale treponemal antibody positive patients mainly concentrated in gynecology, accounted for 58.34%; hepatitis B virus surface antigen positive number mainly in medicine and surgery, accounting for 34.62% and 24. respectively. 96%; HIV positive patients were mainly concentrated in medicine and surgery, respectively accounted for 32.31% and 24.62%; hepatitis C virus antibody positive patients mainly concentrated in obstetrics, 100.0%. conclusion blood transfusion in patients before transfusion transmitted infectious indexes exist certain positive rate, should strengthen the serum infection detection of patients before transfusion, timely detection of infection the source, reduce the infection rate.

【作者单位】：平顶山市平煤神马医疗集团总医院输血科;平顶山市平煤神马医疗集团总医院检验科;
【基金】：河南省科技厅基金资助项目(2013098709X)
【分类号】：R457.1
【正文快照】： 输血是临床上使用较多的一种治疗方法和手段,能够提高临床治疗效果,降低病死率,但是患者在输血过程中也存在一定的感染性疾病风险。为了进一步降低输血感染性疾病发生率,应该在患者输血前进行成分血、无偿献血等有效的措施,降低感染率[1-2]。为了探讨受血者输血前血清感染性指

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