摘要
目的评估枣庄市薛城区法定传染病报告系统乙肝临床分型报告的准确性,了解急性乙肝真实发病率,为综合干预提供科学依据。方法对2014~2015年通过网络直报的乙肝病例进行乙肝病毒表面抗原复核诊断,所有未明确诊断为慢性乙肝的病例进行抗-HBc IgM检测,并对乙肝分型报告质量、乙肝流行病学个案调查资料进行统计分析。结果2014~2015年薛城区共报告乙肝病例389例,经复核诊断,慢性病例318例,急性病例71例;慢性乙肝年均报告发病率31.91/10万,急性乙肝年均报告发病率为7.12/10万。男性发病283例,女性106例,性别比为2.67∶1;农村287例,城市102例;发病率农村(28.7/10万)高于城市(10.2/10万)(P<0.05)。发病年龄主要集中于15~59岁,共356例,占6 2.73%。复核为急性乙肝的71例患者血清IgM阳性率为38.03%。结论枣庄市薛城区乙肝病例以慢性乙肝病例为主。
Objective To understand the actual incidence of acute hepatitis B through evaluation on the accuracy of clini- cal typing of hepatitis B （HBV） in notifiable infectious disease reporting system in Xuecheng district, Zaozhuang city, so as to provide scientific basis for comprehensive intervention. Methods Confirmed diagnosis was made on the HBsAg of HBV cases reported by monitoring system during 2014-2015. All cases that were not diagnosed with chronic hepatitis B were tested for anti-HBc IgM. And the quality of clinical typing and the epidemiological characteristics of HBV were ana- lyzed. Results A total of 389 cases of hepatitis B were reported during 2014-2015,including 318 cases of chronic cases and 71 cases of acute cases after review diagnosis. The incidence rate of chronic hepatitis B was 31.91/105 ,and the actual incidence rate of acute hepatitis B was 7.12/105. 283 reported cases were males and 106 were females. 287 and 102 cases were living in rural area and urban area respectively, higher in rural area（28.7/105） than that in urban area（10. 2/105） （ P 〈0.05）. The peak age was mainly in the 15-59 years,with 356 cases,accounting for 62.73%. The positive rate of serum IgM in 71 patients with acute hepatitis B was 38.03%. Conclusion Most hepatitis B cases are chronic hepatitis B in Xuecheng district, Zaozhuang city.
出处
《预防医学论坛》
2017年第9期701-703,共3页
Preventive Medicine Tribune
