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徐洪吕, 杨明强, 黄东升, 徐正翠, 董贤雅, 李正旭. 云南省保山市不同等级医院乙肝病例报告及血清学检测结果分析[J]. 疾病监测, 2018, 33(8): 664-669. DOI: 10.3784/j.issn.1003-9961.2018.08.013
引用本文: 徐洪吕, 杨明强, 黄东升, 徐正翠, 董贤雅, 李正旭. 云南省保山市不同等级医院乙肝病例报告及血清学检测结果分析[J]. 疾病监测, 2018, 33(8): 664-669. DOI: 10.3784/j.issn.1003-9961.2018.08.013
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Honglyu Xu, Mingqiang Yang, Dongsheng Huang, Zhengcui Xu, Xianya Dong, Zhengxu Li. Analysis on cases reporting and serological test results of hepatitis B in hospitals at different levels in Baoshan, Yunnan[J]. Disease Surveillance, 2018, 33(8): 664-669. DOI: 10.3784/j.issn.1003-9961.2018.08.013
Citation: Honglyu Xu, Mingqiang Yang, Dongsheng Huang, Zhengcui Xu, Xianya Dong, Zhengxu Li. Analysis on cases reporting and serological test results of hepatitis B in hospitals at different levels in Baoshan, Yunnan[J]. Disease Surveillance, 2018, 33(8): 664-669. DOI: 10.3784/j.issn.1003-9961.2018.08.013
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云南省保山市不同等级医院乙肝病例报告及血清学检测结果分析

Analysis on cases reporting and serological test results of hepatitis B in hospitals at different levels in Baoshan, Yunnan

    摘要
  • 摘要:
    目的 分析不同级别和类型医院乙型病毒性肝炎（乙肝）病例分类报告及血清学检测结果，探讨病例报告中可能存在的问题。
    方法 从中国疾病预防控制信息系统中下载保山市2016年报告的乙肝病例（含外地报告但现住址在保山市）资料，包括人口学资料、病例报告资料以及谷丙转氨酶（ALT）、乙肝核心抗体-IgM（HBcAb-IgM）等血清学监测数据。 使用Excel软件建立数据库，应用SPSS 19.0软件包进行数据统计分析。
    结果 一级医院和二级医院报告的HBsAg携带者、未分型、ALT异常、ALT＞P75和未检测HBcAb-IgM的病例数高于其他级别的医院，差异有统计学意义（χ2值分别为884.623、885.244、489.321、560.361、1 124.17，均P＜0.01）。 对于上述比较的各项指标，卫生院和综合医院报告的病例数高于其他类型的医院，差异有统计学意义（χ2值分别为316.875、309.754、359.044、473.882、332.055，均P＜0.01）。
    结论 二级医院和一级医院报告的乙肝病例较多，但错误报告的病例也较多。县级综合医院和卫生院是病例核查的重点。

     

    Abstract:
    Objective To analyze the case reporting and serological test results of hepatitis B in hospitals at different levels in Baoshan, Yunnan province, and explore the possible problems in the case reporting.
    Methods The data of hepatitis B cases reported in Baoshan in 2016 were downloaded from China disease prevention and control information system, including cases reported in other areas but now living in Baoshan. The data included demographic data, case reporting data, and serological test results, such as alanine aminotransferase (ALT), hepatitis B core antibody-IgM (HBcAb-IgM). Database was established by Excel, and software SPSS 19.0 was used for data process and analysis.
    Results The number of cases of HBsAg carriers, unclassified, abnormal ALT, ALT＞P75, and undetected HBcAb-IgM reported by class I hospitals and class II hospitals were higher than those reported by hospitals at other level, the differences were statistically significant (χ2＝884.623, 885.244, 489.321, 560.361, 1 124.17, respectively, P＜0.01). Similarly, for each of the above indicators, the number of cases reported by health center and general hospitals was higher than that reported by other type hospitals, the difference was statistically significant (χ2＝316.875, 309.754, 359.044, 473.882, 332.055, respectively, P＜0.01).
    Conclusion More cases of hepatitis B were reported by class II hospitals and class I hospitals, but more cases were misreported. It is necessary to strengthen the case verification in county-level general hospitals and health centers.

     

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