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受血者输血前进行血清指标检查的临床意义

THE CLINICAL SIGNIFICANCE OF DETERMINATION OF SERUM MARKERS BEFORE TRANSFUSION OF BLOOD RECIPIENTS

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【作者】 曲惠青

【Author】 QU Hui-qing. (Department of Blood Transfusion, Affiliated Hospital of Binzhou Medical College, Binzhou 256603, China)

【机构】 山东省滨州医学院附属医院输血科

【摘要】 [目的]了解受血者输血前的情况,探讨受血者在输血前的血清指标检查在临床上的意义。[方法]对某院2008~2009年受血者进行输血前的乙肝表面抗原(HBsAg)、丙肝病毒抗体(抗-HCV)、梅毒血浆反应素快速实验(PRP)和人类免疫缺陷病毒抗体(抗-HIV)的血清学检测。[结果]该院各科室受检者共1400名,其中HBsAg阳性率为10.29%、抗-HCV阳性率为1.29%、HIV阳性率为0.21%、PRP阳性率为0.14%。不同科室中受血者输血前,HBsAg的阳性率分布差异具有统计学意义、抗-HCV的阳性率的分布差异则不具有统计学意义。[结论]受血者在输血前进行血清学指标检查可以防止院内感染血源性疾病现象的发生,降低医患纠纷事件的发生,对于受血者、医院均具有保护作用。

【Abstract】 [Objective] To understand the situation prior to transfusion of blood recipients, to explore the clinical significance of examination of serum indicators before transfusion of blood recipients. [Methods] From 2008-2009, hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti-HCV), syphilis rapid plasma reagin test (PRP) and human immunodeficiency virus antibody (anti-HIV) serological testing were carried out among blood recipients before transfusion. [Results] 1 400 subjects from various departments, in which HBsAg-positive rate was 10.29% , anti-HCV positive rate was 1.29% , HIV-positive rate was 0.21%, PRP-positive rate was 0.14%. Blood recipients before transfusion in different departments, HBsAg positive rate in the distribution was statistically significant, anti-HCV positive rate in the distribution are not statistically significant. [Conclusion] Serological examination of blood recipients before transfusion can prevent nosocomial infections like the occurrence of the blood-borne diseases and reduce the incidence of doctor-patient disputes, for blood recipients, hospitals have the protective effect.

【关键词】 受血者血清学输血前检测
【Key words】 Blood recipientsSerologyPre-transfusion test
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2010年09期
  • 【分类号】R446.6
  • 【被引频次】6
  • 【下载频次】77
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