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劳向前, 邵瑞太, 庄辉, 王若涛, 于竞进, 周军. 161例病毒性肝炎病原学和传染病报告分析[J]. 中国公共卫生, 2005, 21(8): 977-978. DOI: 10.11847/zgggws2005-21-08-43
引用本文: 劳向前, 邵瑞太, 庄辉, 王若涛, 于竞进, 周军. 161例病毒性肝炎病原学和传染病报告分析[J]. 中国公共卫生, 2005, 21(8): 977-978. DOI: 10.11847/zgggws2005-21-08-43
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LAO Xiangqian, SHAO Ruitai, ZHUANG Hui, . Analysis on etiology and communicable disease report of 161 viral hepatitis cases[J]. Chinese Journal of Public Health, 2005, 21(8): 977-978. DOI: 10.11847/zgggws2005-21-08-43
Citation: LAO Xiangqian, SHAO Ruitai, ZHUANG Hui, . Analysis on etiology and communicable disease report of 161 viral hepatitis cases[J]. Chinese Journal of Public Health, 2005, 21(8): 977-978. DOI: 10.11847/zgggws2005-21-08-43
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161例病毒性肝炎病原学和传染病报告分析

Analysis on etiology and communicable disease report of 161 viral hepatitis cases

    摘要
  • 摘要:
      目的   了解农村地区的病毒性肝炎分型构成及基层单位病毒性肝炎诊断和传染病报告现状。
      方法   选择2000年北京某郊区医院医生诊断的161例“急性病毒性肝炎”病人, ELISA测定病毒性肝炎血清感染标志, 套式聚合酶链反应检测ELISA未能分型肝炎的HBVDNA和HCVDNA, 并进行流行病学调查, 收集传染病报告资料。
      结果   急性甲肝、急性乙肝、急性丙肝、急性戊肝和慢性乙肝急性发作分别占7.5%(12/161)、19.3%(31/161)、5.6%(9/161)、13.0%(21/161)和44.1%(71/161), 未分型占10.6%(17/161)。基层医生病原学分型比例为42.86%(69/161), 其中分型正确率30.44%(21/69)。传染病报告率39.1%(63/161)。
      结论   乙肝是当地病毒性肝炎防治重点, 基层单位对病毒性肝炎的诊断能力及其传染病报告率均较低。

     

    Abstract:
      Objective   To study the etiologic distribution of viral hepatitis and to investigate diagnosis and communicable disease legal report by local physicians in Beijing suburb.
      Methods   161 patients diagnosed as acute viral hepatitis by local physicians in the year 2000 were surveyed, including serologic markers of viral hepatitis by ELISA, epidemiolo gical enquiry with a standard questionnaire.For those patients who could not be indentified the etiology by ELISA, HBV DNA and HCV DNA were detected.Further more, the data of the epiemiological case reporting system in the region were collected.
      Results   the proportion of acute hepatitis A, B, C, E, reactivation of chronic HB and uncertain type were 7.5%(12/161), 19.3%(31/161), 5.6%(9/161), 13.0%(21/161), 44.1%(71/161)and 10.6%(17/161), respectively.42.86%(69/161)cases were identified etiology by local physicians and 30.44%(21/69)of them were correct.39.1%(63/161)cases were reported legally.
      Conclusion   Hepatit is B is the most common hepatitis in the region.the ability of viral hepatitis diagnosisylocal physicians is poor and the proportion of hepatitis cases legal report is low.

     

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