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亓文婷, 孙建东, 徐爱强, 张丽, 马吉祥, 郭晓雷, 颜丙玉, 樊庆莹, 杨赫. 山东省乙型肝炎、肝硬化及肝癌流行趋势分析[J]. 中国公共卫生, 2009, 25(4): 389-391. DOI: 10.11847/zgggws2009-25-04-03
引用本文: 亓文婷, 孙建东, 徐爱强, 张丽, 马吉祥, 郭晓雷, 颜丙玉, 樊庆莹, 杨赫. 山东省乙型肝炎、肝硬化及肝癌流行趋势分析[J]. 中国公共卫生, 2009, 25(4): 389-391. DOI: 10.11847/zgggws2009-25-04-03
QI Wen-ting, SUN Jian-dong, XU Ai-qiang, . Epidemiological trend of hepatitis B, liver cirrhosis and liver cancer during 1990-2007 in Shandong province, China[J]. Chinese Journal of Public Health, 2009, 25(4): 389-391. DOI: 10.11847/zgggws2009-25-04-03
Citation: QI Wen-ting, SUN Jian-dong, XU Ai-qiang, . Epidemiological trend of hepatitis B, liver cirrhosis and liver cancer during 1990-2007 in Shandong province, China[J]. Chinese Journal of Public Health, 2009, 25(4): 389-391. DOI: 10.11847/zgggws2009-25-04-03

山东省乙型肝炎、肝硬化及肝癌流行趋势分析

Epidemiological trend of hepatitis B, liver cirrhosis and liver cancer during 1990-2007 in Shandong province, China

  • 摘要: 目的了解山东省1990~2007年乙肝、肝硬化和肝癌的流行状况及变化趋势,初步评价乙肝预防控制措施的效果,为今后防治决策制定提供参考。方法根据报告的乙肝发病资料和乙肝、肝硬化、肝癌死亡资料以及历年人口资料,利用发病率、死亡率、年龄别死亡率等指标对上述3种疾病进行流行趋势的分析,并建立简单线性回归模型进行统计分析。结果1990~2007年山东省共报告乙肝病例437094例,年均总发病率为27.32/10万,并呈上升趋势,而0~9岁年龄组的发病率呈显著下降趋势。乙肝和肝硬化调整死亡率下降趋势明显,两者合并死亡率由1990年的17.55/10万下降到2007年的4.01/10万。肝癌调整死亡率基本稳定(P=0.9998)。结论做好乙肝疫苗的免疫接种不仅可降低目标人群乙肝的发病,并将最终降低与此相关的肝硬化和肝癌的死亡率。

     

    Abstract: ObjectiveTo analyze the epidemio logical trend of hepatitis B,liver cirrhosis and liver cancer during 1990 to 2007 in Shandong province,and to evaluate the effectiveness of hepatitis B prevention and control measures,so as to provide the evidence for policy-making.MethodsBased on the routine incidence data of hepatitis B,mortality data of hepatitis B,liver cirrhosis,liver cancer and demographic data,the incidence rate,mortality rate and age-specific mortality rate were calculated and analyzed with simple linear regression model.ResultsA total of 437094 cases of hepatitis B were reported during 1990-2007 with an average yearly morbidity of 27.32 per 100 000 population and a decreased trend for the 0-9 year-old children.At the same time,the adjusted mortality rate for hepatitis Band liver cirrhosis showed a decreased tendency signifcantly and the combined mortality rate decreased from 17.55/100 000 in 1990 to 4.01/100 000 in 2007.While there was a steady tendency for liver cancer(P=0.999 8).ConclusionThe good immunization work of hepatitis B vaccine can lower the incidence of hepatitis B for the target population and the mortality rates of related liver cirrhosis and liver cancer.

     

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