2017年天津口岸出境体检人员乙肝表面抗原检测结果分析  

Results Analysis on Hepatitis B Surface Antigen Test among Exit Physical Examiners at Tianjin Port in 2017

作　　者：刘朝印 王馨[2] 詹曦菁[2] 祁军[2] Liu Chaoyin;Wang Xin;Zhan Xijing;Qi Jun(School of Public Health and Management,Weifang Medical College,Weifang Shandong 261053;Tianjin International Travel and Health Care Center,Tianjin 300456)

机构地区：[1]潍坊医学院公共卫生与管理学院,山东潍坊261053 [2]天津国际旅行卫生保健中心,天津300456

出　　处：《口岸卫生控制》2020年第4期54-57,62,共5页Port Health Control

摘　　要：目的通过分析2017年天津口岸全部出境体检人员血清中乙肝表面抗原的检测数据,了解天津口岸出境体检人员的乙肝感染情况,为口岸的疾病预防监督工作和体检人群乙肝感染动态的监测工作提供数据支持和理论保障。方法利用电化学发光技术对2017年天津口岸出境体检人员进行乙肝表面抗原检测,建立出入境体检人员数据库。然后利用统计学方法对乙肝的流行特征进行差异性分析。结果本次研究共涉及3469人,其中共134人为乙肝表面抗原阳性,阳性率为3.90%。将资料按性别分类,男性阳性率为5.50%(127/2293),女性为0.60%(7/1166),男女乙肝感染水平差异具有统计学意义(X^2=50.62,P<0.001)。将资料按职业类别分类,船员阳性率为1.02%(15/1475);公务人员阳性率为69.10%(85/123);劳务人员阳性率为2.06%(30/1459);朝觐人员阳性率为1.64%(1/61);留学人员阳性率为0.93%(3/323),各职业类别人群间乙肝感染水平差异有统计学意义(X^2=1451.82,P<0.001)。将资料按年龄分为4组,0-20岁人员无阳性检出。21-40岁年龄组阳性率为3.23%(84/2597)。41-60岁年龄组阳性率为10.62%(50/471);年龄大于60岁的人员无阳性检出,各年龄组间人群乙肝感染水平差异有统计学意义(X^2=76.16,P<0.001)。结论本研究中乙肝表面抗原阳性检出率与受检人员性别、年龄和职业类别之间存在明显差异。男性感染率远远高于女性;青壮年感染率远高于少年和老年人;公务人员比其他职业类别人群更容易感染乙肝。Objective Through analysis of the test data of hepatitis B surface antigen in the serum of all outbound physical examination personnel at Tianjin port in 2017,to understand the hepatitis B infection status of outpatient physical examination personnel at Tianjin port,and to provide data support and theoretical protection for the disease prevention and surveillance at port and the monitoring of hepatitis B infection in the physical examination personnel.Methods Electrochemiluminescence technology was used to test the hepatitis B surface antigens of the outbound physical examination personnel at Tianjin port in 2017,and a database of entry-exit medical examination personnel was established,and then to use statistical methods to analyze the epidemiological characteristics of hepatitis B.Results A total of 3469 people were involved in the study,134 of which were positive for HBsAg,with a positive rate of 3.90%.The data were classified by gender.The male positive rate was 5.50%(127/2293),and the female was 0.60%(7/1166).There was a statistically significant difference in the level of hepatitis B infection between men and women(X^2=50.62,P<0.001).According to occupational classification,the positive rate of seafarers is 1.02%(15/1475);the positive rate of public servants is 69.10%(85/123);the positive rate of laborers is 2.06%(30/1459);the positive rate of pilgrimage staff is 1.64%(1/61);the positive rate of overseas students was 0.93%(3/323).The difference in hepatitis B infection among the occupational groups was statistically significant(X^2=1451.82,P<0.001).The data were divided into 4 groups according to age,and no positive in 0-20 age group were detected.The positive rate in the 21-40 age group was 3.23%(84/2597).The positive rate in the 41-60 age group was 10.62%(50/471);no positive persons were detected over the age of 60,and the difference in hepatitis B infection among the age groups was statistically significant(X^2=76.16,P<0.001).Conclusion There is a significant difference of the positive rate of hepatitis

关 键 词：乙肝 表面抗原 电化学发光技术 阳性率 

分 类 号：R512.62[医药卫生—内科学]