马山县2013年从业人员健康体检甲肝、戊肝感染状况分析  

Employees' hepatitis A,hepatitis E infection status analysis of Mashan county in 2013

作　　者：黄春丽 李彩景 谭子俊 

机构地区：[1]马山县疾病预防控制中心,广西530600

出　　处：《医学动物防制》2015年第10期1078-1080,共3页Journal of Medical Pest Control

摘　　要：目的了解2013年马山县食品及公共场所从业人员甲肝、戊肝感染状况,为预防控制疾病提供科学依据。方法对2013年马山县疾病预防控制中心体检的食品及公共场所从业人员,空腹采集静脉血5ml,血清标本采用酶联免疫吸附法(ELISA)检测甲肝抗体(HAV-Ig M)和戊肝抗体(HEV-Ig M),并对结果进行分析。结果 2013年检测的2 339名从业人员中,甲肝抗体(HAV-Ig M)阳性率为0.30%(7/2 339),戊肝抗体(HEV-Ig M)阳性率为1.03%(24/2 339)。戊肝感染率明显高于甲肝感染率,两者差异有统计学意义(χ2=9.38,P﹤0.01)。食品和公共场所从业人员甲肝和戊肝感染率差异有统计学意义(χ甲肝2=3.93,P﹤0.05;χ戊肝2=15.28,P﹤0.01)。甲肝(HAV-Ig M)和戊肝(HEV-Ig M)感染率在性别和年龄分布差异无统计学意义(χ甲肝2=2.02,χ戊肝2=2.89,P﹥0.05)和(χ甲肝2=2.02,χ戊肝2=2.89,P﹥0.05)。结论马山县从业人员健康体检中,甲肝、戊肝感染率较高。应加强对从业人员的健康管理和相应的卫生知识培训,是防止病毒性肝炎流行的有效控制措施。Objective To understand the epidemiological characteristics of hepatitis A and hepatitis E infection of employees in food industry and public places of Mashan county in 2013,in order to provide a basis for prevention and control decision. Methods For food and public- place employees been health examined in disease control and prevention center of Mashan county in 2013,collected venous blood 5 Ml before fasting,ELISA was used to detect antibodies of HAV- Ig M and HEV- Ig M. Results Among the 2339 employees tested in 2013,the positive rates of HAV- Ig M and HEV- Ig M were 0. 30 %（ 7 /2339） and 1. 03%（ 24 /2339） respectively. Infection rate of hepatitis E was higher than of hepatitis A,the difference was have statistical significant（ χ2= 9. 38,P ﹤ 0. 01）. The positive rates between hepatitis A and hepatitis E in food industry and public places were found to have statistical significant differences.（ χh e p a t i t i s A2= 3. 93, P ﹤0. 05; χh e p a t i t i s E2= 15. 28,P ﹤ 0. 01）. There was no significant difference between anti hepatitis A and hepatitis E positive rates in gender and age.（ χh e p a t i t i s A2= 2. 02, χh e p a t i t i s E2= 2. 89, P ﹥ 0. 05） and（ χh e p a t i t i s A2= 2. 02,χh e p a t i t i s E2= 2. 89,P ﹥ 0. 05）. Conclusions Hepatitis A,hepatitis E infection rates are relatively high among employees during health examination in Mashan county. Health management and the corresponding hygienic knowledge training should be strengthened on employees,it is an effective control measures to prevent the epidemic of viral hepatitis.

关 键 词：健康体检 甲型肝炎 戊型肝炎 感染率 

分 类 号：R194.3[医药卫生—卫生事业管理]