健康体检人群乙型肝炎检测情况调查分析

A Diagnosis of Hepatitis B Detection among People Undergoing Physical Examination

通过调查分析某三甲医院附设的专业体检机构全年33 367例健康体检者乙肝病毒血清标志物检测情况,对体检结果进行整理分析。结果显示,需及时接种乙肝疫苗的占17.83%;已产生免疫力的占30.5%;HBsAg阳性者占8.07%,其中大多数为'大三阳'和'小三阳',HBeAg阳性中大多数亦为'大三阳'。通过研究乙肝病毒感染者的年龄、性别分布,提示感染集中在20~60岁的年龄段,且HBeAg阳性、HBsAg阳性者均是男性比女性多,需及时注射乙肝疫苗的男性也较女性多。传统方法将HBsAg与肝功能作为筛查手段,但实际上HBsAg阴性也不能排除乙肝病毒感染。

An analysis was made through the diagnosis of HBVM detection among annual 33 367 people undergoing physical examination in a professional medical organization attached to a grade 3 and level A hospital.It turned out that 17.83% of people needed to be inoculated by hepatitis B vaccine in time,30.5% of people had immunity and 8.07% were HBsAg positive,most of them were HBsAg,HBeAg and HBcAb positive or HBsAg,HBeAb and HBcAb positive.By studying the age-sex distribution of Hepatitis B virus-infected people,it was known that the positives mostly concentrated in the 20 to 60 age group.Furthermore,the male was more than female both in positive HBeAg and positive HBsAg.Among those who need to inject Hepatitis B vaccine in time,the male was more than the female too.Traditionally,HBsAg and liver function are used for screening,but in fact,the possibility of Hepatitis B virus infection cannot be ruled out even if the HBsAg is negative.