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目的分析重庆市某区2010-2015年丙型病毒性肝炎流行情况和流行因素,探讨当地丙型病毒性肝炎防控策略。方法采用描述流行病学方法对当地2010-2015年报告的丙型病毒性肝炎发病情况进行分析。结果2010-2015年报告的丙型病毒性肝炎病例数逐年增加(P=0.001),报告发病率呈逐年上升趋势(P=0.000),占报告病毒性肝炎总数的比例逐年增加(P=0.002),无丙肝突发公共卫生事件报告;无显著的季节性(P=0.263);城区和农村的报告发病率均逐年上升(P城区=0.001,P农村=0.017),城区发病率高于农村(P=0.000);男女之比为1.55:1,男女发病高峰均在35~45岁年龄段;以农民、家务及待业等职业为主;诊断分类正确率为67.61%,急慢性分类正确率为65.91%。结论重庆市某区近年来丙型病毒性肝炎疫情整体呈上升趋势,需加强防治。
Objective To analyze the prevalence and epidemic factors of hepatitis C virus in a district of Chongqing from 2010 to 2015 and to explore the prevention and control strategies of hepatitis C virus in this area. Methods Descriptive epidemiological methods were used to analyze the incidence of hepatitis C in the local area in 2010-2015. Results The reported cases of hepatitis C in 2010-2015 increased year by year (P = 0.001), the reported incidence increased year by year (P = 0.000), the proportion of the total reported viral hepatitis increased year by year (P = 0.002) (P = 0.263); the reported incidence in both urban and rural areas increased year by year (P city = 0.001 and P rural = 0.017), and the incidence of urban areas was higher than that of rural areas (P = P = 0.000). The ratio of male to female was 1.55: 1, and the peak incidence of both men and women was in the 35-45 age group. The main occupations were peasants, housework and unemployed. The diagnostic accuracy was 67.61% 65.91%. Conclusion The epidemic situation of hepatitis C virus in a district of Chongqing has been on the rise in recent years, and prevention and treatment should be strengthened.