2004~2014年青岛市丙型肝炎流行特征分析  

Analysis on the epidemiological characteristics of hepatitis C,Qingdao city,2004-2014

作　　者：韩雅琳[1] 任祥欣 梁纪伟[1] 潘蓓[1] 姜法春 雷杰[3] 

机构地区：[1]青岛市疾病预防控制中心,山东青岛266033 [2]青岛市城阳区人民医院,山东青岛266109 [3]山东省疾病预防控制中心,山东济南250014

出　　处：《预防医学论坛》2016年第6期457-460,共4页Preventive Medicine Tribune

摘　　要：目的探讨青岛市丙肝疫情流行规律,以指导丙肝疫情防控。方法采用描述性研究方法,对比交叉分析青岛市各区市特点,对现行丙肝报告情况做出判定;采用χ2检验对核查数据进行统计学分析。结果青岛市丙肝发病率2004年为0.44/10万,2014年为2.88/10万;疫情无明显季节性,各月均有病例报告;城阳区、黄岛区、胶州市、市北区和即墨市为青岛市疫情上升的主要动力,占全部病例数的76.12%;发病人群主要集中在中年人(79.97%),男女比例基本持平(1.04∶1);调查涵盖了17家综合医院,仅有4家医院具备丙肝核酸检测能力,9家医院委托外单位检测,剩余4家医院不进行丙肝核酸检测;抗-HCV检测阳性且进行HCV-RNA检测的丙肝住院病例21例(20.39%),门诊病例17例(80.95%)(P<0.01);丙肝病例急慢性分类正确率分别为急性0.00%、慢性100.00%和未分类0.00%(P<0.01)。结论青岛市丙肝疫情呈逐年上升趋势。Objective To explore the law of hepatitis C prevalence in Qingdao city,so as to guide its prevention and control. Methods The descriptive epidemiological method was used to compare and analyze the characteristics in different districts,and determine the current report of hepatitis C;and chi-square test was used to check the data for statistical analysis. Results The incidence of hepatitis C in Qingdao city was 0.44/105 in 2004,2.88/105 in 2014,the epidemic of hepatitis C had no obvious seasonal characteristics,every month had reported cases;Chengyang district,Huangdao district,Shibei district and Jimo city mainly contributed to the rising of epidemic,accounting for 76.12% of the total cases.Most of patients were in the middle-aged（79.97%）,the ratio of male to female was 1.04：1;this investigation contained 17 comprehensive hospitals,only 4had testing capabilities for the nucleic acid of hepatitis C,9entrusted other hospitals to test,and 4others didn’t do this;21hospitalized patients were tested positive for anti-HCV and detected for HCV-RNA（20.39%）,17 were outpatient cases（80.95%）（P 〈0.01）.The accuracy rate of hepatitis C cases of acute or chronic classification was0.00%in acutecases,100.00%in chronic cases and 0.00%in unclassified cases（P 〈0.01）. Conclusion The epidemic of hepatitis C in Qingdao city presents a rising trend year by year.

关 键 词：丙肝 流行特征 病例报告 数据质量 

分 类 号：R512.63[医药卫生—内科学]