天津市乙型病毒性肝炎疫情本外地诊断报告输出入研究  

Study on the import and export of hepatitis B cases reported in Tianjin

作　　者：吴伟慎[1] 陈静[1] 何海艳[1] 赵莹[1] 李超[1] 王文权 WU Wei-shen CHEN Jing HE Hai- yan ZHAO Ying LI Chao WANG Wen-quan(Department of Viral Hepatitis Control, Infectious Disease Division, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China Department of Infectious Disease Control, Tianjin Binhai New Area Dagang Centers for Disease Control and Prevention, Tianjin 300270, China)

机构地区：[1]天津市疾病预防控制中心传染病控制室肝炎科,天津300011 [2]天津市滨海新区大港疾病预防控制中心传染病科,天津300270

出　　处：《中华疾病控制杂志》2017年第4期414-417,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的了解天津市乙型病毒性肝炎输入及输出诊断报告病例分布及特征,为区域一体化合作提供依据。方法采用描述流行病学方法,对天津市2005-2015年《中国疾病预防控制信息系统》终审报告的乙肝疫情按现住址和报告地区导出全部报卡,按输入和输出类别,分别对性别、年龄、地区、职业、报告单位等特征进行分析比较。结果 2005-2015年输出报告率为14.96%(6 311/42 190),输入率为3.28%(1 218/37 097),差异具有统计学意义(x^2=3 130.935,P<0.001),输入及输出地首位均为河北省,分别占57.47%和57.96%,且均以男性为主(63.79~75.93%),年龄集中在20~49岁,职业以农民为主,输出报告中儿童及学生(0~19岁组)构成及数量高于输入。结论天津市乙肝疫情主要为本地医疗机构报告的疫情;输出入报告病例关系较密切为河北省和北京市,总体输出大于输入,建议加强京津冀一体化乙肝诊断报告管理及防控工作。Objective To explore the Hepatitis B epidemic characteristics and distribution in the import and export cases of Tianjin and to provide basis for the regional integration. Method Hepatitis B cases data were derived respectively from＂China information system for disease control and prevention＂among 2005-2015 by current address and reported regions Tianjin. Then studies of gender,age,reported region,occupation and reporting agency were performed according to the category of imported or exported cases. Results The rate of export and import cases respectively was 14. 96%（ 6 311/42 190） and 3. 28 %（ 1 218/37 097）（χ^2= 3 130. 935,P 〈0. 001）. Hebei Province got both the first import and export rate（ 57. 47%,57. 96%）,among which males（ 63. 79-75. 93%）,aged 20-49 and farmers were the major population. The export number and constituent ratio of children,students aged 0-19 was larger than those imported. Conclusions Hepatitis B cases addressed in Tianjin are mainly reported by local hospitals. The export or import cases are closely related with Hebei and Beijing,which regional integration should be strengthened for Hepatitis B management and control.

关 键 词：肝炎 乙型 慢性 诊断 天津 

分 类 号：R512.62[医药卫生—内科学]