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目的:了解住院精神病患者乙肝(HBV)、丙肝(HCV)、爱滋病(HIV)和梅毒(TP)感染情况。方法:对7 137例住院精神病患者采用酶联免疫吸附试验(ELISA)进行血清HBsAg、抗-HCV、抗-HIV和抗-TP检测、抗-HIV初筛。结果:7 137例住院精神病患者血清HBsAg、抗-HCV、抗-HIV和抗-TP阳性率分别为4.74%(338/7137)﹑1.03%(70/6767)﹑0.03%(2/6775)﹑0.64%(9/1398)。不同性别患者的HBsAg、抗-HCV的阳性率比较,男性高于女性,差异有统计学意义(P<0.01)。不同年龄段患者的HBsAg、抗-HCV的阳性率比较,差异有统计学意义(P<0.01),其中20~40岁住院患者HBsAg阳性率显著高于其他年龄段(P<0.01)。结论:住院精神病患者不同程度存在HBV、HCV、HIV、TP感染,病区应采取监测、隔离、消毒、治疗等综合性措施,以防交叉感染。
Objective: To understand the prevalence of hepatitis B (HBV), hepatitis C (HCV), AIDS (HIV) and syphilis (TP) in hospitalized patients. Methods: Serum anti-HBsAg, anti-HCV, anti-HIV and anti-TP were detected in 7 137 inpatients with psychosis by enzyme-linked immunosorbent assay (ELISA). Results: The positive rates of HBsAg, anti-HCV, anti-HIV and anti-TP in 7 137 inpatients with psychosis were 4.74% (338/7137), 1.03% (70/6767), 0.03% (2/6775) 0.64% (9/1398). The positive rates of HBsAg and anti-HCV in different sexes were higher in males than in females, the difference was statistically significant (P <0.01). The positive rates of HBsAg and anti-HCV in different age groups were statistically significant (P <0.01). The positive rate of HBsAg in hospitalized patients aged 20-40 was significantly higher than that in other age groups (P <0.01). Conclusion: There are HBV, HCV, HIV and TP infection in hospitalized patients to varying degrees. The ward should take comprehensive measures such as monitoring, isolation, disinfection and treatment to prevent cross-infection.