婚前医学检查乙型肝炎血清学与肝功能检测结果分析  

Analysis of Premarital Medical Examination Results of Hepatitis B Serology and Liver Function

作　　者：任艳辉 REN Yan-hui(Pre-marital Examination Department,Yuanzhou Hospital of Maternal and Child Health Care of Yichun City,Yichun 336000,China)

机构地区：[1]宜春市袁州区妇幼保健院婚检优检科,江西宜春336000

出　　处：《宜春学院学报》2022年第6期71-74,共4页Journal of Yichun University

摘　　要：目的:研究婚检人群乙型肝炎血清学和肝功能检测结果,分析乙型肝炎抗原抗体在此人群中的分布现状与及血清学与肝功能的关系。方法:以2019年和2020年两年参与婚检的人群为研究对象,收集其婚检血清学与肝功能检测结果,运用流行病学方法分析血清学与肝功能结果在此人群中的分布规律。结果:HbsAg和HBcAb流行率分别为9.81%和11.46%,处于中等偏高水平。HbsAg、HBeAg、HBeAb和HBcAb阳性率男性均高于女性,HBsAb女性高于男性。随着年龄的增加HBsAb占比越来越低。谷丙转氨酶流行率男性高于女性,其中阳性率最高的年龄组是30-49岁。HBsAg+HBeAg+HBcAb+、HBsAg+HBeAb+、HBsAg+HBeAb+HBcAb+、HBsAg+HBcAb+阳性且谷丙转氨酶阳性者分别占30.88%、26.67%、18.14%和13.32%。结论:乙型肝炎仍然是一种严重的公共卫生问题,在婚检人群中HBsAg阳性占比比一般人群更高,HBsAb则更低,婚检筛查是发现乙肝病毒感染的重要途径之一,HBsAb阴性人群应当考虑接种乙肝疫苗。Objective:It aims to study the test results of hepatitis B serology and liver function in the marital population and to analyze the current distribution of antibodies to hepatitis B antigen in this population and the relationship between serology and liver function.Methods:The population who participated in premarital medical examination in 2019 and 2020 were selected as the research objects.The serological and liver function test results as well as distribution rule were collected and analyzed by using epidemiological methods.Results:The prevalence of HBsAg and HBcAb was 9.81 % and 11.46 %,respectively,which were at medium high level.The positive rates of HBsAg,HBeAg,HBeAb and HBcAb in men were higher than that in women while the rates of HBsAb in men were lower than that in women.The proportion of HBsAb decreased with increasing age.The prevalence of ALT in men was higher than that in women and the age group with the highest positive rate was 30-49 years old.The HBsAg+HBeAg+HBcAb+,HBsAg+HBeAb+,HBsAg+HBcAb+ with alanine transaminase positives composed of 30.88 %,26.67 %,18.14 % and 13.32 %,respectively.Conclusion:Hepatitis B remains a serious public health problem.The proportion of HBsAg positive in the marital population is higher than that of general population while HBsAb positive is lower.Premarital medical examination is one of the important ways to detect HBV infection,and HBV negative people should be considered for HBV vaccination.

关 键 词：婚前医学检查 婚检人群 乙型肝炎 血清学 肝功能 

分 类 号：R169[医药卫生—公共卫生与预防医学]