Abstract
Objective To investigate preoperative infection prevalence indicators of orthopedic emergency surgery patients,to analyze infection index distribution and prevalence of orthopedic emergency surgery patients before operation.Methods Enzyme-linked immunosorbent assay(ELISA) was used to detect the hepatitis A virus antibody (anti-HAV),hepatitis C virus antibody (anti-HCV),human immunodeficiency virus (1/2)-type antibody (anti-HIV1/ 2) and Treponema pallidum antibodies (TPAb)in 4 381 cases received orthopedic emergency surgery.Results The positive rates of hepatitis C and syphilis antibody in male patients were 0.228％,0.821％,those in female patients were 0.366％,0.686％,the differences were statistically significant (x2 =3.543,3.631,all P ＜ 0.05).The HAV antibody positive rates in young group,middle age group and elderly group were 0.000％,0.329％ and 0.101％ ;the positive rates of hepatitis C antibody were 0.107％,0.591％ and 0.203％ ;the positive rates of syphilis antibody were 0.160％,0.854％ and 1.722％ ;HIV antibody positive rates were 0.000％,0.131％ and 0.000％.,The positive rates of hepatitis C and syphilis antibody between the young group and elderly group had statistically significant differences (x2 =3.654,5.743,all P ＜ 0.05).The positive rates of hepatitis C antibodies,syphihs,HIV (1/2) antibody,hepatitis A antibody between the middle-age group and the young group had statistically significant differences (x2 =3.543,3.854,5.432,3.432,all P ＜ 0.05).The positive rates of hepatitis C antibodies,syphilis,HIV (1/2) antibody,hepatitis A antibody between the elderly group and the middle-age group had statistically significant differences(x2 =3.546,3.6431,3.564,3.433,all P＜0.05).Conclusion In 4381 patients,the indicators are not zero,suggest that preoperative infectious diseases are likely to be infected.For patients before surgery to make hepatitis A,hepatitis C,human immunodeficiency virus,syphilis antibody detection has a positive meaning. Key words: Emergency treatment; Orthopedic surgery; Hepatitis A virus; Hepatitis C virus ; Human immunodeficiency virus ; Syphilis
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