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湖北省维持性血液透析患者丙型肝炎病毒感染调查
引用本文:韩颖,熊薇. 湖北省维持性血液透析患者丙型肝炎病毒感染调查[J]. 内科急危重症杂志, 2011, 17(4): 208-209,222
作者姓名:韩颖  熊薇
作者单位:华中科技大学同济医学院附属同济医院,武汉,430030
摘    要:目的:调查维持性血液透析患者丙型肝炎病毒(HCV)感染情况,并探讨其相关危险因素。方法;对湖北省84所医院3608例维持性血液透析(MHD)患者,采用ELISA法检测血清标志物HCV抗体。同时调查其输血史和透析史,进行相关性分析。结果:3608例MHD患者中,HCV感染率5.88%。有输血史HCV感染率(7.12%)显著高于无输血史者(2.13%,P〈0.01)。HCV阳转率透析时间小于1年为0.98%,透析1~2年为4.19%,透析2~3年为4.59%,透析3年以上为13.06%(P〈0.01)。且随着每周透析次数的增加,HCV的阳转率也明显上升(P〈0.05)。接受过1所医院透析的患者,HCV阳转率为3.09%,接受过2所为5.84%,接受过3所为7.44%,接受4所及以上为11.29%(P〈0.01)。结论:反复输血、透析时间长、透析次数多、接受多家医院透析是MHD患者感染HCV高的重要因素。减少输血、加强透析治疗环节院内感染的质量控制对预防HCV感染有重要意义。

关 键 词:维持性血液透析  丙型肝炎病毒

Investigation on Hepatitis C Virus Infection in Patients With Maintenance Hemodialysis in Hubei Province
HAN Ying,XIONG Wei. Investigation on Hepatitis C Virus Infection in Patients With Maintenance Hemodialysis in Hubei Province[J]. Journal of Internal Intensive Medicine, 2011, 17(4): 208-209,222
Authors:HAN Ying  XIONG Wei
Affiliation:HAN Ying,XIONG Wei.Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:Objective:To investigate hepatitis C virus(HCV) infection in patients with maintenance hemodialysis(MHD) and to explore its associated risk factors.Methods:Serum samples of 3 608 patients with MHD in 84 hospitals of Hubei Province were tested for anti-HCV antibodies by the method of ELISA.History of blood transfusion and hemodialysis were investigated and their correlation was analyzed.Results:The HCV infection rate was 5.88% among 3 608 patients with MHD.Infection rate(7.12%) was much higher in patients wi...
Keywords:Maintenance hemodialysis Hepatitis C virus  
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