2017—2021年庆阳市人民医院体检和就诊人群HBV、HCV、TP及HIV感染情况分析  

Analysis on HBV,HCV,TP and HIV infections in the population receiving physical examination and seeking treatment in People's Hospital of Qingyang City from 2017 to 2021

作　　者：侯怀哲 朱圭娜[2] 苏天雄 张吉平 HOU Huaizhe;ZHU Guina;SU Tianxiong;ZHANG Jiping(Qingyang People's Hospital,Qingyang 745000,Gansu Province,China;Qingyang Center for Disease Control and Prevention,Qingyang 745000,Gansu Province,China)

机构地区：[1]庆阳市人民医院,甘肃庆阳745000 [2]庆阳市疾病预防控制中心,甘肃庆阳745000

出　　处：《寄生虫病与感染性疾病》2023年第4期234-238,共5页Parasitoses and Infectious Diseases

基　　金：甘肃省卫生健康行业科研项目(项目编号:GSWSQN2021-012);甘肃省青年科技基金计划项目(项目编号:21JR7RM9090)。

摘　　要：目的 分析庆阳市人民医院体检和就诊人群乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒螺旋体(TP)和人类免疫缺陷病毒(HIV)的感染情况,为传染病的防治提供科学依据。方法 回顾性分析2017—2021年来庆阳市人民医院体检和就诊患者HBV、HCV、TP及HIV的感染情况,使用SPSS 22.0统计软件对数据进行分析,率的比较采用χ^(2)检验,检验水准α=0.05。结果 2017—2021年庆阳市人民医院体检和就诊人群中HBV、HCV、TP及HIV的阳性率分别为7.78%、1.78%、2.41%和0.08%。性别分布中HBV和HIV阳性率男性明显高于女性(χ^(2)_(HBV)=738.52,χ^(2)_(HIV)=68.33,P均<0.001),HCV和TP阳性率女性略高于男性(χ^(2)_(HCV)=17.79,χ^(2)_(TP)=71.71,P均<0.05);4类传染病阳性率在18岁以下组均较低,不同年龄组差异均有统计学意义(χ^(2)_(HBV)=2 822.76,χ^(2)_(HCV)=1 196.47,χ^(2)_(TP)=508.09,χ^(2)_(HIV)=64.72,P均<0.001);不同就诊类别中,门诊患者阳性率显著高于住院及体检人群(χ^(2)_(HBV)=17 383.20,χ^(2)_(HCV)=252.26,χ^(2)_(TP)=31 756.90,χ^(2)_(HIV)=21.44,P均<0.05)。结论 2017—2021年庆阳市HBV、HCV、TP及HIV阳性率均较高,尤其是门诊就诊人群。需加强人群传染病筛查的宣传力度,同时提高医护人员防护意识,规范操作以减少医护人员职业暴露的发生。Objective To analyze the infection of hepatitis B virus(HBV),hepatitis C virus(HCV),treponema pallidum(TP)and human immunodeficiency virus(HIV)in the population receiving physical examination and seeking treatment in People's Hospital of Qingyang City,and to provide scientific basis for the prevention and treatment of infectious diseases.Methods A retrospective analysis was conducted on the infection of HBV,HCV,TP and HIV among the population receiving physical examination and seeking treatment in People's Hospital of Qingyang City from 2017 to 2021.The data were analyzed by SPSS 22.0 statistical software.The comparison of rates was performed by Chi-square test.And the test level wasα=0.05.Results From 2017 to 2021,the positive rates of HBV,HCV,TP and HIV among the population receiving physical examination and seeking treatment in People's Hospital of Qingyang City were 7.78%,1.78%,2.41%and0.08%,respectively.In terms of gender distribution,the positive rates of HBV and HIV were significantly higher in males than those in females(χ^(2)_(HBV)=738.52,χ^(2)_(HCV)=68.33,all P<0.001),while the positive rates of HCV and TP were slightly higher in females than those in males(χ^(2)_(HCV)=17.79,χ^(2)_(TP)=71.71,all P<0.05).The positive rates of the four types of infectious diseases were relatively lower in<18 years old age group,with statistically significant differences among different age groups(χ^(2)_(HBV)=2822.76,χ^(2)_(HCV)=1196.47,χ^(2)_(TP)=508.09,χ^(2)_(HCV)=64.72,all P<0.001).Among different types of medical visits,the positive rates of outpatients were significantly higher than those of inpatients and physical examination populations(χ^(2)_(HBV)=17383.20,χ^(2)_(HCV)=252.26,χ^(2)_(TP)=31756.90,χ^(2)_(HCV)=21.44,all P<0.05).Conclusions The positive rates of HBV,HCV,TP and HIV were relatively high in Qingyang City from 2017 to 2021,especially among outpatients.It is necessary to strengthen the publicity of infectious disease screening among the population,raise the protection awareness of medical staff,

关 键 词：乙型肝炎病毒 丙型肝炎病毒 梅毒螺旋体 人类免疫缺陷病毒 感染 

分 类 号：R512.6[医药卫生—内科学] R512.91[医药卫生—临床医学] R759.1R181.3