摘要
目的了解1 284例烧伤患者水泡渗出液乙型肝炎病毒(hepatitis B virus,HBV)阳性状况,为采取针对性的护理干预措施提供参考。方法用整群抽样法抽取2016年1月至2018年12月在恩施州中心医院烧伤整形医疗美容科住院的1 284例烧伤患者作为研究对象,采用ELISA法检测烧伤患者血清、水泡渗出液HBV抗原(HBsAg)及抗体并进行相关分析。结果烧伤患者血清HBsAg阳性率7.08%,水泡渗出液HBsAg阳性率6.23%,差异无统计学意义(χ^(2)=0.758,P>0.05);感染HBV的烧伤患者中,水泡渗出液中的HBV携带率为87.91%;不同年份烧伤患者水泡渗出液HBsAg阳性率比较,差异有统计学意义(χ^(2)=6.252,P<0.05);不同年份烧伤患者血清HBsAg阳性率比较,差异有统计学意义(χ^(2)=8.119,P<0.05);男性烧伤患者水泡渗出液HBsAg阳性率为8.24%,高于女性患者的2.13%,差异有统计学意义(χ^(2)=18.067,P<0.05);不同年龄烧伤患者水泡渗出液HBsAg阳性率比较,差异有统计学意义(χ^(2)=12.187,P<0.05)。结论烧伤患者水泡渗出液HBsAg阳性率较高,应该引起足够重视,针对患者的特点制定针对性的护理干预措施,防止发生院内感染。
Objective To understand the positive conditions of hepatitis B virus in blister exudates of 1284 burn patients,and to provide references for taking pertinent nursing intervention measures.Methods Cluster sampling method was implemented to collect 1284 burn patients hospitalized in the Department of Plastic Surgery&Medical Cosmetology,The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture from January 2016 to December 2018,ELISA was applied to test and analyze HBV antigens(HBs Ag)and antibodies in the serums and blister exudates of burn patients.Results The positive rate of HBs Ag in serums and that of HBs Ag in effusions of burn patients was 7.08%and 6.23%respectively,and the differences were statistically significant(χ^(2)=0.758,P>0.05).In burn patients infected with HBV,the carrier rate of HBV in vesicle exudates was 87.91%;the difference in the positive rate of HBs Ag in vesicle exudates of burn patients in different years compared was statistically significant(χ^(2)=6.252,P<0.05);the difference in positive rate of HBs Ag in serum of burn patients in different years compared was statistically significant(χ^(2)=8.119,P<0.05).The positive rate of HBs Ag in vesicle exudates of male burn patients was 8.24%,being higher than that of female burn patients in 2.13%,and the difference was statistically significant(χ^(2)=18.067,P<0.05).The differ-ence in the positive rate of HBs Ag in vesicle exudates of burn patients in different age groups compared was significantly different(χ^(2)=12.187,P<0.05).Conclusion The positive rate of HBs Ag in blister exudates of burn patients is high,enough attention should be made,and ursing intervention measures should be developed according to the characteristics of burn patients to prevent nosocomial infection.
作者
张茜
郑爱娜
杨艳辉
张曌
ZHANG Qian;ZHENG Ai-na;YANG Yan-hui;ZHANG Zhao(The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Hubei445000,China)
出处
《医学动物防制》
2021年第3期237-239,共3页
Journal of Medical Pest Control
关键词
烧伤患者
水泡渗出液
乙型肝炎病毒
阳性
护理干预
Burn patients
Vesicle exudates
Hepatitis B virus
Positive
Nursing intervention
