南方某地区急性病毒性肝炎的分型与危险因素特点  

THE TYPES AND RISK FACTORS OF VIRUS HEPATITIS IN SOUTHERN REGION.

作　　者：王珊珊[1] 彭桂福[1] 曾年华[1] 王志斌[1] 黄佳亮[1] 李兴国[1] 李珉珉 王槐春[3] 侯湘敏 

机构地区：[1]广州军区军事医学研究所,510507 [2]广州华侨医院 [3]广州军区卫生部 [4]广东省军区卫生处

出　　处：《现代预防医学》2002年第4期468-470,共3页Modern Preventive Medicine

基　　金：广东省科委资助课题 (编号 970 0 2 )

摘　　要：目的 :探讨部队与地方急性病毒性肝炎的型别与发病因素 ,为制定预防措施提供依据。方法 :对驻广东、广西两所部队医院收治的急性病毒性肝炎 10 1例进行了血清学分型与发病因素调查。结果 :10 1例中部队病人 4 2例 ,甲型肝炎(HA) 5 2 .38% ,乙型肝炎 (HB) 4 0 .4 8% ,丙型肝炎 (HC) 7.14 %。部队病人甲肝的发病因素主要为肝炎接触史 (OR=10 .6 3) ,不洁饮食史 (OR=7.70 ) ,出差旅游史 (OR=5 .71)。乙肝与丙肝主要与肝炎接触史 (OR=2 5 .0 ,4 .0 )有关。地方病人 5 9例 ,其中 HA32 .2 0 % ,HB4 0 .6 8% ,HC18.6 4 % ,混合感染 8.4 7%。甲肝主要与肝炎接触史 (OR=5 .95 )、不洁饮食史 (OR=6 .0 6 )、出差旅游史 (OR=5 .15 )有关。乙肝主要与肝炎接触史 (OR=5 .5 0 ) ,家庭成员既往肝炎史 (OR=4 .2 0 )有关。丙肝与肝炎接触史 (OR=8.33) ,输血史 (OR=3.75 )有关。结论 :病毒性肝炎的预防 ,部队人群应以甲肝为主 ,地方人群应以乙肝为主。Objective:To explore the types and risk factors of virus hepatitis in southern region to work out preventive measures.Methods:The types and risk factors of 101 cases acute hepatitis in two military hospitals in Guangdong and Guangxi province were investigated.Results:42 of 101 cases patients were armyman,in which hepatitis A,B and C were 52 38%,40 48% and 7 14%,respectively.The risk factors of hepatits A were contact with hepatitis patients( OR =10 63),lack of food hygiene( OR =7 70) and travel( OR =5 71).Those of hepatitis B and C related to contact with hepatitis patients( OR =25 0,4 0).59 cases were city residents,in which hepatitis A,B,C were 32 20%,40 68% and 18 64%,respectively,and mix infection is 8 47%.The risk factors of hepatits A were contact with hepatits patients( OR =5 95),lack of food hygiene( OR =6 06) and travel( OR =5 15).That of hepatitis B was contact with hepatitis patients( OR =5 50),family members with hepatitis( OR =4 20).Hepatitis C related to contact with hepatitis patients( OR =8 33),blood transfusion( OR =3 73).Conclusion:The prevention of virus hepatitis of army crowds,hepatitis A is very important,hepatitis B should be payed attention to city residents.

关 键 词：急性病毒性肝炎 甲型肝炎 乙型肝炎 丙型肝炎 危险因素 流行病学 

分 类 号：R512.6[医药卫生—内科学]