17102例乙型肝炎丙型肝炎艾滋病梅毒检测的的结果分析.docVIP

17102例乙型肝炎丙型肝炎艾滋病梅毒检测的的结果分析 　　【摘要】 目的 回顾性分析传染病乙型肝炎、丙型肝炎、艾滋病、梅毒4项检测结果， 分别探讨其在就诊患者中诊疗的意义。方法 对17102例患者的传染病4项检测结果进行回顾性分析， 所有患者均采用时间分辨免疫荧光法检测乙型肝炎表面抗原（HBsAg）， 采用酶联免疫法检测丙型肝炎病毒抗体（抗-HCV）、人类获得性免疫缺陷病毒抗体（抗-HIV）和梅毒螺旋体抗体， 并分析检查结果。结果 ①4 项 　　检测结果中HBsAg、抗-HCV、梅毒螺旋体抗体、抗-HIV阳性率分别为21.60%、0.71% 、0.75%、0.35%。②科室分布：门诊部作为相对独立的大科室， 在传染病4项中均占有较高的比例， 住院患者中腹部外科的HBsAg阳性率较其他科室高， 整个外科的阳性比例要比内科高。结论 传染病4项阳性率在门诊及体检患者中较为常见， 住院患者以外科阳性率为高， 及时检查能降低医源性阳性率， 避免发生医疗纠纷， 减少医院内感染。 　　【关键词】 乙型肝炎病毒；丙型肝炎病毒；艾滋病；梅毒 　　DOI：10.14163/j.cnki.11-5547/r.2016.16.004 　　【Abstract】 Objective To retrospectively analyze detection result of hepatitis B， hepatitis C， AIDS and syphilis， and to investigate their significance in diagnosis and treatment. Methods A retrospective analysis was made on the 4 detections in 17102 patients， and all patients received immumofluorescence method to detect hepatitis B surface antigen （HBsAg）， euzymelinked immunosorbent assay for antibody to hepatitis C virus （anti-HCV）， antibody to human immunodeficiency virus （anti-HIV） and treponema pallidum antibody. Their outcomes were all analyzed and examined. Results ① Positive rates of HBsAg， anti-HCV， treponema pallidum antibody and anti-HIV in the 4 detections were respectively 21.60%， 0.71%， 0.75% and 0.35%.② As an independent large department， outpatient ward accounted for a high proportion in the 4 detections. Abdominal surgery department showed higher HBsAg positive rate in hospitalized patients than the other departments. Surgery departments contained higher positive rate than internal medicine departments. Conclusion Positive rates of 4 infectious diseases is common in outpatients and physical examination patients， and it is high in hospitalized patients in surgery department. It is necessary to implement timely detection to reduce iatrogenic positive rate and avoid medical dispute and nosocomial infection. 　　【Key words】 Hepatitis B virus； Hepatitis C virus； AIDS； Syphilis 　　传染病4项检测在临床上具有相当广泛的实用性和必要性， 由于经过血液传播的疾病初期在临床上往往无明显特异性， 容易被忽视， 并可能对