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唐荣兰, 韦福邦, 朱万孚, 李奎, 庄辉, 韦启援, 廖丹, 郭堑. 柳州市急性散发性病毒性肝炎的病原学和流行病学研究[J]. 中国公共卫生, 2001, 17(9): 831-832. DOI: 10.11847/zgggws2001-17-09-45
引用本文: 唐荣兰, 韦福邦, 朱万孚, 李奎, 庄辉, 韦启援, 廖丹, 郭堑. 柳州市急性散发性病毒性肝炎的病原学和流行病学研究[J]. 中国公共卫生, 2001, 17(9): 831-832. DOI: 10.11847/zgggws2001-17-09-45
TANG Rong-lan, . Pathogenic and Epidemiological Study on Acute and Sporadic Virose Hepatitis of Liuzhou City[J]. Chinese Journal of Public Health, 2001, 17(9): 831-832. DOI: 10.11847/zgggws2001-17-09-45
Citation: TANG Rong-lan, . Pathogenic and Epidemiological Study on Acute and Sporadic Virose Hepatitis of Liuzhou City[J]. Chinese Journal of Public Health, 2001, 17(9): 831-832. DOI: 10.11847/zgggws2001-17-09-45

柳州市急性散发性病毒性肝炎的病原学和流行病学研究

Pathogenic and Epidemiological Study on Acute and Sporadic Virose Hepatitis of Liuzhou City

  • 摘要: 目的 探讨柳州市急性散发性病毒性肝炎的分型构成及危险因素.方法 用酶联免疫法(EIA)测柳州市121例急性散发性病毒性肝炎血清的各型肝炎病毒急性期感染指标,用逆转录套式聚合酶链反应(RT-nPCR)检测血清未能分型的18例血清的HEVRNA.结果甲型、乙型、丙型分别占10.7%、58.6%、6.8%,丙型与乙型同时感染占0.8%,戊型分别与甲型、乙型、丙型、庚型同时感染各1例,共占3.3%.戊型7例,血清学未能分型者检HEVRNA阳性7例,则戊型肝炎共14例占11.6%.未分型占9.1%.未检到单纯抗-HGV阳性者.危险因素分析表明甲型肝炎的血液暴露史(30.8%)高于乙型肝炎(21.1%),而乙型肝炎的肠道暴露史(94.4%)高于甲型肝炎(92.3%).结论 该市急性散发性病毒性肝炎中乙型肝炎占比重最大(58.7%);血清学未能分型者HEV-RNA阳性较率高(38.5%);甲型肝炎经血传染、乙型肝炎经消化道传染的方式有上升的趋势.

     

    Abstract: Objective To investigate the formation of classified acute and sporadic viral hepatitis of Liuzhou city.Methods Acute-phase sera of 121 patients with acute sporadic virose hepatitis of Liuzhou city were detected for acute-phase markers of various hepatitis viruses by using an enzyme-linked immunoserbent assay(EIA).Eighteen patients' sera whose types couldn't be distinguished by serum were detected for HEV RNA by using a reverse transcription-nested plymerase chain reaction(RT-nPCR).Results Among the 121 patients with acute sporadic virose hepatitis,patients with HA,patients with HB and patients with HC were 10.7%,58.6% and 68.8%,respectively.Patients with HC and HB occuppied 0.8%,and HD patients,there was one patient who was simutaneously infected with HE respectively,the rate being 3.3%.There were 7 patients with hepatitis E.There were 7 positive patietns whose sera couldnot be classified among those who were detected for HEV RNA.There were 14 patients with hepatitis E all together,the rate being 11.6%,those whose sera couldnot be classified were 9.1%,pure anti-HGV positive patients were not detected.The analysis of risk factors showed that the exposure history of blood from patients with hepatitis A(30.8%) was higher than that of those with hepatitis B(21.1%) while intestines exposure history(94.3%) of patients with hepatitis B was higher than that of those with hepatitis A(92.3%).Conclusions Of acute virose hepatitises of Liuzhou city hepatitis B was the most(58.7%),HEV RNA positive patients were more(38.8%) among those whose sera couldn't be typed.There was a rising trend thathepatitis A was infected through blood and hepatitis B was infected through the alimentary canal.

     

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