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目的 :探讨部队与地方急性病毒性肝炎的型别与发病因素 ,为制定预防措施提供依据。方法 :对驻广东、广西两所部队医院收治的急性病毒性肝炎 10 1例进行了血清学分型与发病因素调查。结果 :10 1例中部队病人 4 2例 ,甲型肝炎(HA) 5 2 .38% ,乙型肝炎 (HB) 4 0 .4 8% ,丙型肝炎 (HC) 7.14 %。部队病人甲肝的发病因素主要为肝炎接触史 (OR=10 .6 3) ,不洁饮食史 (OR=7.70 ) ,出差旅游史 (OR=5 .71)。乙肝与丙肝主要与肝炎接触史 (OR=2 5 .0 ,4 .0 )有关。地方病人 5 9例 ,其中 HA32 .2 0 % ,HB4 0 .6 8% ,HC18.6 4 % ,混合感染 8.4 7%。甲肝主要与肝炎接触史 (OR=5 .95 )、不洁饮食史 (OR=6 .0 6 )、出差旅游史 (OR=5 .15 )有关。乙肝主要与肝炎接触史 (OR=5 .5 0 ) ,家庭成员既往肝炎史 (OR=4 .2 0 )有关。丙肝与肝炎接触史 (OR=8.33) ,输血史 (OR=3.75 )有关。结论 :病毒性肝炎的预防 ,部队人群应以甲肝为主 ,地方人群应以乙肝为主。
Objective: To explore the types and incidence of acute viral hepatitis in the troops and local areas and provide the basis for making preventive measures. Methods: A total of 101 acute viral hepatitis patients admitted to two military hospitals in Guangdong and Guangxi were investigated for serological typing and pathogenesis. Results: A total of 101 cases of PLA patients were treated with 42 cases of HA, 52.38% of HB, 40.8% of HB and 7.14% of HC. The incidence of hepatitis A in military patients was mainly related to history of hepatitis exposure (OR = 10.36), unclean diet history (OR = 7.70) and travel history (OR = 5.71). Hepatitis B and hepatitis C were mainly related to the history of hepatitis exposure (OR = 25.0, 4.0). There were 59 cases of local patients, including HA32.200%, HB4.0.68%, HC18.6 4% and mixed infection of 8.47%. Hepatitis A was mainly associated with history of hepatitis exposure (OR = 5.95), unclean diet history (OR = 6.60) and travel history (OR = 5.15). Hepatitis B was mainly associated with history of hepatitis exposure (OR = 5.5) and family history of previous hepatitis (OR = 4.20). History of hepatitis C and hepatitis exposure (OR = 8.33), history of blood transfusion (OR = 3.75). Conclusion: For the prevention of viral hepatitis, the army should be dominated by hepatitis A and the local population should be dominated by hepatitis B.