部队甲型病毒性肝炎的发病率调查  

INVESTIGATION ON INCIDENCE RATE OF HEPATITIS A IN ARMIES

作　　者：金晶[1] 李远贵[1] 龙泳[1] 李东力[2] 杨占清 刘世昌 王珊珊[5] 陈友绩[1] 

机构地区：[1]第四军医大学流行病学教研室,西安710032 [2]沈阳军区联勤部军事医学研究所 [3]济南军联勤部区军事医学研究所 [4]成都军区联勤部卫生防疫队 [5]广州军区联勤部军事医学研究所

出　　处：《解放军预防医学杂志》2000年第5期334-336,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：总后卫生部科研基金资助项目!(No .96L0 49)

摘　　要：目的 :为了较精确地查明部队病毒性肝炎与甲型肝炎实际发病率及流行病学特点 ,为部队甲肝的防制提供科学依据。方法 :用整体抽样的方法 ,在驻东北、华东、西南、华南野战部队中 ,各抽取一个有代表性的部队 ,前瞻性的观察了 160 360人在 1993年内甲肝发病情况 ,统一方法与统一批号试剂 ,在同样条件下用ELISA检测抗 -HAVIgM。结果 :一年内共发生病毒性肝炎 310例 ,年发病率为 199.3/ 10万 ,其中甲肝年发病率 10 0 .4 / 10万 ,占 51.9%。甲肝发病有 3～ 5月与 8～ 9月两个高峰 ,新兵甲肝发病率 ( 130 .6/ 10万 )高于老兵 ( 81.0 / 10万 ,P <0 .0 1)。结论 :甲肝预防的重点是新兵 。Objective:To investigate the incidence rate of viral hepatitis, hepatits A in the troops and their epidemiological characteristics, so as to provide scientific basis for making preventive measures of hepatitis A. Methods:A representative army was sampled respectively from the northwest, east, southwest, and south field armies in China. A total of 160 360 subjects were observed. Prevalence of hepatitis A among them in 1993 were investigated prospectively. Anti-HAV-IgM was detected by using unified methods and reagents. Results:Viral hepatitis occurred in 310 subjects, with an annual incidence rate of 193.3/100 000, among which hepatitis A accounted for 51.9%, with an annual incidence rate of 100.4/100 000. Hepatitis A occurrence reached its peaks from March to May and from August to September.Its incidence rate in the recruits (130.6/100 000)was higher than that in the veterans (81.0/100 000,P<0.01).Conclusion:Put the stress on the recruits in prevention of hepatitis. The susceptible ones should be vaccinated.

关 键 词：甲型肝炎 发病率 调查 部队 流行病学 

分 类 号：R512.610.1[医药卫生—内科学]