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目的了解沅陵县肺结核患者乙型肝炎病毒感染状况,为肺结核病的治疗工作提供科学依据。方法采用酶联免疫法对2005-2007年929例肺结核患者进行乙肝“两对半”和ALT检测。结果近三年肺结核患者HBsAg总阳性率为6.46%(60/929),ALT异常为0。HBsAg阳性患者中职业以农民为主;年龄组中以青、壮年为主;大三阳占HBsAg阳性总数的8.33%(5/60),小三阳占HBsAg阳性总数的61.67%(37/60),其他感染模式占HBsAg阳性总数的30%(18/60)。结论该县肺结核患者乙肝病毒携带者低于全国平均水平。该县疾控中心结核病防治科为有乙型肝炎的肺结核患者制定科学的结核病治疗方案,效果满意。
Objective To understand the status of hepatitis B virus infection in patients with pulmonary tuberculosis in Yuanling County and provide a scientific basis for the treatment of pulmonary tuberculosis. Methods Enzyme - linked immunosorbent assay was used to detect hepatitis B “two pairs and half” and ALT in 929 pulmonary tuberculosis patients from 2005 to 2007. Results The total positive rate of HBsAg in tuberculosis patients was 6.46% (60/929) in the recent three years. The abnormality of ALT was 0. Among the HBsAg-positive patients, the occupations were dominated by peasants. Among the age groups, young and middle-aged were dominant. Daiyangsan accounted for 8.33% (5/60) of the total number of positive HBsAg positives, while the three positives accounted for 61.67% (37/60) of the total positive HBsAg- , Other infection patterns accounted for 30% of the total number of HBsAg positive (18/60). Conclusion Hepatitis B virus carriers in this county are lower than the national average. The county CDC Tuberculosis Prevention and Treatment Division for the development of tuberculosis patients with hepatitis B treatment program, with satisfactory results.