2018—2022年青海省乙型肝炎病例重复报告分析  

Duplicated reporting of hepatitis B cases in Qinghai,2018-2022

作　　者：杜星星 郝增平 阿克忠[2] 巴文生[2] 关炳菊[2] 李孟旸 马强 郭子哲 徐瑾 DU Xing-xing;HAO Zeng-ping;A Ke-zhong;BA Wen-sheng;GUAN Bing-ju;LI Meng-yang;MA Qiang;GUO Zi-zhe;XU Jin(Department of Public Health,Qinghai University Medical College,Xining,Qinghai 810001,China;不详)

机构地区：[1]青海大学医学院公共卫生系,青海西宁810001 [2]青海省疾病预防控制中心

出　　处：《现代预防医学》2025年第4期716-719,761,共5页Modern Preventive Medicine

基　　金：中国肝炎基金会—中国乙肝防控科研基金资助课题(YGFK2020003)。

摘　　要：目的分析2018—2022年青海省乙型肝炎(乙肝)病例重复报告(重报)情况,为逐步改善青海省乙肝病例数据监测管理提供理论依据。方法通过全国传染病报告信息管理系统(National Notifiable Disease Report System,NNDRS)收集青海省2018—2022年报告病种为乙肝的病例数据,设置5种查重规则,利用R 4.3.2软件对乙肝病例进行查重,并采用χ^(2)检验和Cochran-Armitage趋势检验进一步对重报病例进行分析。结果2018—2022年青海省累计重复报告乙肝病例6107例(13.01%),纳入研究的乙肝病例时间跨度为1~5个年度时,重报率分别为3.76%、6.90%、9.31%、11.39%、13.01%,纳入病例时间跨度越长重报率越高(Z=57.931,P<0.001)。当纳入病例的时间跨度为5年时,青海省8个市州的重报率在9.45%~15.25%之间,急性、慢性、未分类乙肝病例的重报率分别为11.79%、13.06%和12.58%。结论青海省2018—2022年报告的乙肝病例存在较严重的跨地区和跨年度重报,应强化各级各部门的乙肝查重工作,并采取针对性措施以减少重复报告情况、加强乙肝病例监测管理。Objective To provide a theoretical basis for improving the monitoring and management of hepatitis B case data in Qinghai by analyzing the duplicate reporting(re-reporting)of hepatitis B cases in Qinghai from 2018 to 2022.Methods The data of cases with reported disease type of hepatitis B in Qinghai Province from 2018 to 2022 were collected through the National Notifiable Disease Reporting System(NNDRS),and five types of double-checking rules were set to check hepatitis B cases by using R4.3.2 software,and the restated caseswere further analysedusing χ^(2)test and Cochran-Armitage trend test.Results The cumulative number of repeated reported hepatitis B cases in Qinghai Province from 2018 to 2022 was6107(13.01%),and when the time span of the hepatitis B cases included in the study ranged from 1 to 5 years,the restatement rates were 3.76%,6.90%,9.31%,11.39%,and 13.01%,respectively,and the restatement rate was higher the longer the time span of the included cases(Z=57.931,P<0.001).When the time span of the included cases was 5 years,the restatement rates of the eight cities and states in Qinghai Province ranged from 9.45%to 15.25%,and the restatement rates of acute,chronic,and unclassified hepatitis B cases were 11.79%,13.06%and 12.58%,respectively.Conclusion There is a more serious inter-regional and inter-annual restatement of hepatitis B cases reported in Qinghai Province from 2018-2022,and hepatitis B checking should be strengthened at all levels and in all departments,and targeted measures should be taken to reduce the situation of repeated reporting and improve the monitoring and management of hepatitis B cases.

关 键 词：乙型肝炎 重复报告 发病率 报告系统 

分 类 号：R512.62[医药卫生—内科学]