摘要
目的了解浦口区尿毒症患者乙肝、丙肝、梅毒、艾滋病感染情况,为该地区血液透析的医疗安全、疾病防治、医患纠纷解决提供依据。方法选择在我院血透中心维持血液透析的尿毒症患者143例为研究对象,空腹抽取静脉血4mL分离出血清,采用酶联免疫吸附试验(ELISA)检测血清中乙肝两对半、丙肝抗体、艾滋病抗体;梅毒快速血浆反应素试验(RPR)筛查梅毒。结果143例尿毒症患者中乙肝表面抗原阳性6例、阳性率4.2%,乙肝表面抗体阳性62例、阳性率43.4%,丙肝抗体阳性1例、阳性率0.70%,梅毒阳性0例、阳性率0.00%,艾滋病阳性0例、阳性率0.00%。结论浦口区尿毒症患者乙肝、丙肝仍有较高的感染率,血液透析的医疗安全面临较大的压力;检验科与临床应加强沟通,提高检测水平。
Objective To investigate the infection situation of hepatitis B,hepatitis C,syphilis and AIDS among uremia patients in Pukou District,and to provide basis for medical safety,disease prevention and treatment,and doctor-patient dispute settlement of hemodialysis in this area.MethodsA total of 143 uremic patients who maintained hemodialysis in our hospital's hemodialysis center were selected as the research subjects.4ml of venous blood was extracted on an empty stomach to separate the serum,and enzyme-linked immunosorbent assay(ELISA)was used to detect the two-half hepatitis B,hepatitis C antibody and AIDS antibody in the serum.The rapid plasma reagin test(RPR)is used to screen for syphilis.Results The positive rate of hepatitis B surface antigen was 4.2%in 6 cases,hepatitis B surface antibody was 43.4%in 62 cases,hepatitis C antibody was 0.70%in 1 case,syphilis was 0.00%in 0 cases and AIDS was 0.00%in 0 cases.ConclusionThe infection rate of hepatitis B and hepatitis C in uremia patients in Pukou district is still high,and the greater pressure is faced with the medical safety of hemodialysis.The laboratory and the clinical department should strengthen communication with the clinic to improve the level of detection.
作者
顾明青
Gu Mingqing(The Pukou District Central Hospital,Nanjing Jiangshu 211800)
出处
《基层医学论坛》
2022年第28期93-95,107,共4页
The Medical Forum
关键词
血液透析
乙肝
丙肝
梅毒
艾滋病
Hemodialysis
Hepatitis B
Hepatitis C
Syphilis
AIDS
