摘要
目的 了解上海市静安地区肝病病例患病及治疗状况,为临床肝病患者的治疗和预防提供指导性意见.方法 随机选取2007年6月-2010年3月18 672例肝病患者纳为研究对象.其中老年肝病患者1927例,青年患者5795例和中年患者10 950例,查阅三组患者的就诊病例、临床表现、实验室检查以及影像学检测结果.分析三组患者的肝病患病状况、治疗和预后效果.结果 老年、中年、青年患者分别占肝病总人数的10.32％、58.64％和31.04％,三组患者在性别构成上存在统计学差异（P ＜0.001）.三组患者病毒性肝病、非病毒性肝病和隐源性肝病构成比存在统计学差异（P＜0.01）.在治疗和预后方面,在肝衰竭发生状况方面,老年组、中年组与青年组存在统计学差异（P＜0.01）,老年组与中年组之间无差异（P＞0.05）.在因肝病死亡状况方面,三组之间两两比较存在统计学差异（P＜0.01）.在肝病治愈方面,三组患者两两比较存在统计学差异（P＜0.01）.结论 上海静安地区老年患者肝病以病毒性肝病为主,且乙肝发病率最高,预后不良,病死率较高.
Objective To explore prevalence and treatment on liver diseases cases in Jing＆#39;an Shanghai, which can provide a guidance for the prevention and treatment of patients with chronic liver disease.Methods 18 672 liver diseases cases were incorporated randomly as the research objects during June 2007 -March 2010.Among the 1927 cases of elderly patients with liver diseases, 5795 cases and 10 950 cases of young patients with middle aged patients, the detection results of three groups of patients were consulted doctor, clinical manifestation, laboratory examination and imaging.Analysis on three groups of patients with liver disease prevalence, treatment and prognosis.Results The elderly, middle aged, young patients accounted for 10.32%, 58.64% and 31.04% of all the cases.In these three groups of patients, there was significant difference in gender composition （P 〈 0.001）.In the three groups of patients with viral liver diseases, there were significant differences in composition than non viral liver disease and cryptogenic liver disease （P 〈0.01）.In the aspect of treatment and prognosis in liver failure, the occurrence condition, there were significant differences （P 〈0.01）.There was no difference between the elderly group and middle-aged group （P 〉0.05）.According to the death status in liver disease, there was significant difference （P 〈0.01）.According to healing in liver disease, different groups showed significant statistical difference （P 〈 0.01）.Conclusions Viral liver diseases are main live diseases in elder patients, hepatitis B showed the highest incidence poor prognosis.The mortality rate is high in Jing＆#39; an district of Shanghai.
出处
《国际病毒学杂志》
2015年第5期298-301,共4页
International Journal of Virology
关键词
老年
肝病
现况调查
Older
Liver disease
Prevalence survey
