输血前检验传染性指标的价值分析

摘要

目的：探讨输血人员输血前检验感染性指标的价值。方法选取2013年3月~2014年3月本院收治的1245例需要输血的患者作为研究对象，在输血前进行传染性指标检测，对检测结果进行分析。结果135例感染乙肝病毒，阳性率为10.27%；41例感染丙型肝炎病毒(HCV)，阳性率为3.12%；2例感染人类免疫缺陷病毒(HIV)，阳性率为0.15%；8例感染乙型肝炎e抗原，阳性率为0.61%；24例感染梅毒，阳性率为1.83%。与女性相比，男性的HBsAg阳性率较高，差异有统计学意义(P<0.05)，但男性与女性抗-HCV、抗-HIV、HBeAg、梅毒抗体的阳性率差异无统计学意义(P>0.05)。结论输血前进行传染性指标检验有利于了解患者在输血前感染性疾病的情况，保障临床用血安全，有利于患者健康，同时提高医护人员防护意识，减少或避免因传染性疾病引起的医患纠纷。%Objective To explore the value of examining infective indices before blood transfusion for blood givers. Methods 1245 patients who were admitted to our hospital and in need of blood transfusion from March 2013 to March 2014 were selected as research subjects. The infective index was examined before the blood transfusion,and exam re-sults was analyzed. Results 135 patients were infected with hepatitis B Virus,and the positive rate was 10.27%.41 pa-tients were infected with HCV,and the positive rate was 3.12%.2 patients were infected with HIV,and the positive rate was 0.15%.8 patients were infected with HBV e-antigen,and the positive rate was 0.61%.24 patients were infected with syphilis (TP),and the positive rate was 1.83%.The positive rate of HBsAg in males was higher compared with that in fe-males,and the difference was statistically significant (P<0.05).The positive rate of anti-HCV,anti-HIV,HBeAg and TP antibody between males and females was not statistically different (P>0.05). Conclusion Exam of infective indices be-fore blood transfusion is beneficial to understand patients’ conditions of being infected with infectious diseases and en-sure the clinical safety of blood use.The exam is beneficial to enhance patients’health,improve the protective awareness of medical staff,and reduce or avoid medical disputes caused by infectious diseases.