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[目的]了解HBV标志物在廊坊市市直医保人群中的分布状况,为乙型肝炎的防治提供依据。[方法]2004~2006年对廊坊市市直医保部分参保人员13 576人采用ELISA法进行了HBsAg、抗-HBs、HBeAg、抗-HBe和抗-HBc的测定。[结果]共调查13 576人,HBsAg、抗-HBs和抗-HBc阳性率分别为2.77%、23.02%和16.60%,HBV感染率为32.34%。不同性别HBsAg、抗-HBs和抗-HBc阳性率的差异均有统计学意义(P<0.01);不同年龄人群HBsAg阳性率的差异有统计学意义(P<0.01),不同职业人群差异无统计学意义(P>0.05)。在HBsAg阳性者中,小三阳是主要的血清学类型。[结论]HBV在调查人群中为中度流行,国有企业的男性职工是HBV防治的重点。
[Objective] To understand the distribution of HBV markers in the urban health insurance population in Langfang City and provide evidence for the prevention and treatment of hepatitis B. [Methods] From 2005 to 2006, 13 576 insured members of medical insurance in Langfang City were tested by ELISA for the determination of HBsAg, anti-HBs, HBeAg, anti-HBe and anti-HBc. [Results] A total of 13 576 people were investigated. The positive rates of HBsAg, anti-HBs and anti-HBc were 2.77%, 23.02% and 16.60% respectively, and the HBV infection rate was 32.34%. There were significant differences in the positive rates of HBsAg, anti-HBs and anti-HBc between different sexes (P <0.01). The positive rates of HBsAg in different age groups were statistically significant (P <0.01) Significance (P> 0.05). In HBsAg-positive people, the three positive yang is the main serological type. [Conclusion] HBV is moderately prevailing in the surveyed population. Male workers in state-owned enterprises are the focus of HBV prevention and treatment.