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在一个单一的高等学术中心接受手术的患者中感染C型肝炎病毒
Jae Seung Lee1,2,3, Hye Won Lee1,2,3, Mi Na Kim1,2,3
1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Journal of gastroenterology and hepatology
|February 15, 2024
概括
许多患有型肝炎病毒 (HCV) 感染的外科患者没有得到足够的护理. 提高外科医生的意识和教育对于更好的HCV管理在这个人群中至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 手术护理 手术护理
背景情况:
- 由于缺乏足够的认识,肝炎C病毒 (HCV) 感染在手术患者管理中带来了挑战.
- 在手术环境中,经常缺乏对HCV的适当查,确认和治疗方案.
研究的目的:
- 调查接受手术的患者中HCV查,确认和治疗的现状.
- 为了确定手术患者群体内HCV护理的差距.
主要方法:
- 从2019年到2021年,对96,894名在高等学术中心接受手术的患者进行了回顾性研究.
- 对抗HCV抗体和HCVRNA测试的分析,治疗转诊和结果.
- 在不同外科部门对HCV治疗的比较.
主要成果:
- 86.6%的患者检测出抗HCV抗体呈阳性,其中很大一部分患有糖尿病和高血压等并发症.
- 在接受测试的患者中,HCV RNA被证实在20.5%,其中95.5%被转诊接受治疗.
- 在接受治疗的患者中,有69.0%的患者获得了成功的直接作用抗病毒疗法,尽管确认率因手术部门而异.
结论:
- 显著的百分比的抗HCV阳性手术患者没有得到足够的术后管理.
- 为了改善患者护理,需要加强外科医生对HCV感染的教育和意识.
- 建议在所有外科部门标准化HCV查和管理协议.
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