2005—2012年甘肃省藏族地区乙型肝炎病例报告质量分析  

Qulity analysis of hepatitis B reported cases in Tibetan area of Gansu Province in 2005-2012

作　　者：吴斌[1,2] 李端[1] 吉兆华[1] 闫永平[1] 

机构地区：[1]第四军医大学流行病学教研室,陕西省西安市710032 [2]甘肃省疾病预防控制中心

出　　处：《职业与健康》2014年第23期3428-3430,共3页Occupation and Health

基　　金：国家"十一五"重大传染病防治科技重大专项(项目编号:2012ZX10004907);国家自然科学基金青年项目(项目编号:81302474;项目编号:81102140)

摘　　要：目的了解甘肃省藏族地区乙型病毒性肝炎(乙肝)病例报告情况,为进一步规范乙肝报告和制定乙肝防控措施提供依据。方法从中国疾病预防控制系统中的疾病监测信息报告管理系统导出甘肃省甘南藏族自治州和武威市天祝藏族自治县2005—2012年乙肝报告发病资料进行分析。结果 2005—2012年甘肃省藏族地区乙肝平均报告发病率为329.58/10万,其中,甘南藏族自治州平均报告发病率为314.39/10万;天祝藏族自治县平均发病率为361.45/10万。2005—2012年来自综合医院的乙肝报告最多,占80.30%;乙肝实验室诊断病例所占比例最多,为82.46%;且随着年份的增长呈逐年上升趋势(P<0.05)。急性乙肝病例所占比例最小,仅为1.97%;但未分类病例最多,占73.04%。结论甘肃省藏族地区乙肝报告质量近年来明显提高,但是乙肝病例大多无法进行分型,因此,应继续加强对临床医生和传染病报告人员的培训,尤其应提高县市级综合医院乙肝分型的能力,以及时掌握该少数民族地区乙肝发病信息和流行趋势。[ Objective] To investigate hepatitis B reported cases in the Tibetan areas of Gansu Province, to better standardize the format of case report, and provide a basis for developing prevention and control measures of hepatitis B in Tibetan area. [ Methods] Hepatitis B incidence data from 2005-2012 in Gannan Tibetan Autonomous Prefecture and Tianzhu Autonomous County of Wuwei City was exported from the Diseases Reporting Information System of China Information System for Diseases Control and Prevention for analysis. [ Results] During 2005-2012, the average incidence of the reported hepatitis B in the Tibetan area of Gansu Province was 329. 58/ 100 000, that of Gannan Tibetan Autonomous Prefecture and Tianzhu Autonomous County was 314.39/100 000 and 361.45/100 000, respectively. From 2005-2012, the most hepatitis B reported cases came from the general hospitals, accounting for 80.30% ; while most Hepatitis B cases （ 82.46% ） were diagnosed by the laboratories, which increased annually （ P 〈 0. 05 ）. The acute hepatitis B occupied the least proportion, only 1.97%, but most hepatitis B cases were not classi- fied, accounting for 73.04%. [ Conclusion] In recent years, the quality of the hepatitis B case reports increased dramatically in the Tibetan area of Gansu Province, however, most hepatitis B cases can not be classified by the reporters. In order to grasp the hepatitis B morbidity information and epidemic trend in the above mentioned minority area in time, the training for the clinician and infection reporters should be enhanced, and the ability of classifying the types of hepatitis B cases in general hospital of county and municipal level should be improved.

关 键 词：乙型肝炎 藏族地区 报告质量 

分 类 号：R181.8[医药卫生—流行病学]