铁路客运服务从业人员HBsAb和HCV监测结果分析  

To analyze the detection results of HbsAb and HCV of railway passenger services personnel

作　　者：曹利蓉[1] 陈小明[2] 徐俊[1] 郑婕[1] 阿依夏木[1] 张霞[1] 罗薇[1] 

机构地区：[1]乌鲁木齐铁路局疾病预防控制所,新疆乌鲁木齐830011 [2]乌鲁木齐铁路局劳卫处,新疆乌鲁木齐830011

出　　处：《疾病监测与控制》2013年第9期528-529,共2页Journal of Diseases Monitor and Control

基　　金：乌鲁木齐铁路局科技发展基金(2013-44)

摘　　要：目的了解我局客运服务从业人员乙肝表面抗体(HBsAb)阳性率和丙肝(HCV)感染状况,为客运服务从业人员进行个体职业健康干预,提出有针对性的防控措施。方法用酶联免疫法及胶体金法对我局客运服务从业人员,进行了乙肝表面抗体(HBsAb)、丙肝(抗-HCV)的检测,对检验结果进行统计学分析。结果 2013年2~4月共检测3 920例,HBsAb阳性率为57.88%。经统计学分析,不同性别不同年龄之间无统计学差异,而在不同民族之间有统计学差异;丙肝(抗-HCV)阳性率为0.82%,不同性别中有统计学差异。结论我局客运服务从业人员HBsAb阳性率高于2006年普查的全国平均水平[1],表明这部分人对HBV具有一定的免疫力。另一部分HBsAb阴性或弱阳性者,提示进行乙肝疫苗的接种或加强免疫,确保抗体在体内保持一定的水平。丙肝感染情况已日趋严重,早发现、早治疗,针对普通人群开展丙肝抗体常规检测具有十分重要的意义。Objective To analyze positive rate of Hepatitis B surface antibody （HBsAb） and infection rate of Hepatitis C （HCV） in urumqi railway bureau passenger services personnel. To intervene in individual occupational health of passenger services personnel and to advise the rational prevention and control measures for them. Methods To detect HBsAb and HCV （anti-HCV） when the passenger services personnel of uramqi railway bureau were had health examination. The results were analyzed by the statistics. The test methods applied enzyme linked immunosorbent assay （ELISA） and colloidal gold method. Results 3 920 cases were detected from 2013.02 to 2013. 04. The positive rate of ltBsAb is 57.88%. There is no significant difference among the different sex or different age by statistical analysis, and there is significant difference among the different people. The positive rate of HCV （anti-HCV） is 0. 82%. There is significant difference among the different sex. Conclusion The positive rate of HBsAb of urumqi railway bureau passenger services personnel was high than the national average level of the national HBsAb census in 2006. To indicate this group had the certain immunity for HBV. To inform the individual belong to the groups with HBsAbnegative or HBsAb weakly positive ir^unized hepatitis B vaccine or enhanced immunity, and to ensure the certain antibody level for HBV in vivo. The infection of HCV is a growing serious problem. HCV must be detected and treated early. To carry out routine detection of hepatitis C antibody has a very important significance for the general population.

关 键 词：客运服务从业人员 乙肝表面抗体 丙肝抗体 乙肝疫苗 

分 类 号：R512.62[医药卫生—内科学]