Survey on case mix of viral hepatitis B in Tianjin City in 2005
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摘要: 目的 掌握乙型病毒性肝炎(乙肝)临床谱构成,使用调查结果推算临床谱发病率及修正乙肝报告发病率.方法 根据2005年疫情网络报告乙肝病例数,每月初按上月地区发病不等比例分层随机抽样调查,调查病例统一填写天津市乙型病毒性肝炎流行病学调查表,用Excel软件输机并运用SPSS11.5统计.结果 急性乙肝构成为36.51%,重型肝炎为4.33%,慢性肝炎为48.81%,淤胆型肝炎0.08%,乙肝肝硬化10.27%;修正急性肝炎发病率为19.05/10万.结论 修正急性乙肝发病率远低于疫情报告发病率;乙肝临床谱构成仍以慢性病例为主;建议加强医疗机构乙肝的急、慢性病例分类报告.Abstract: Objective The present study was conducted to know the case mix of viral hepatitis B, use the survey results to predict the incidence and revise the reported incidence of hepatitis B. Methods Based on the number of cases with hepatitis B reported by epidemic status network in 2005, the stratified random sampling surveys with different proportion were taken at the beginning of each month according to last month's regional incidence. Cases in surveys all filled in the questionnaires of epidemiology of viral hepatitis B in Tianjin City. The data were put into the computers by Excel and analyzed by SPSS 11.5. Results The incidences of acute hepatitis, severe hepatitis, chronic hepatitis, cholestatic hepatitis, and cirrhosis due to hepatitis virus were 36.51%, 4.33%, 48.81%, 0.08%, and 10.27% respectively. The revised incidence of acute hepatitis was 19.05/lakh. Conclusion The revised incidence of acute hepatitis was far lower than the reported incidence of epidemic status. Cases with hepatitis B were mainly chronic ones. It was suggested that classification reporting of cases with acute and chronic hepatitis B should be strengthened in medical facilities.
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[1]王建军,施国庆,赵佐兰.安徽省乙型病毒性肝炎病例重报及诊断情况分析[J].安徽预防医学杂志,2002,8(4):211-212. [2]林秀玉,徐道振,王勤环,等.乙型病毒性肝炎的诊断标准及处理原则GB 15990-1995[S]. [3]章灿明,施国庆,王晓云.福建省2004年1~3月乙型肝炎疫情显著上升原因快速评估[J].海峡预防医学杂志,2005,11(2):31-32. -

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