1995～2004年湖南临湘市人民医院病毒性肝炎实验室检测分析

Analysis of laboratory diagnostic tests of Viral Hepatitis in Linxiang People's Hospital of Hunan Province from 1995 to 2004

目的了解1995～2004年临湘市人民医院病毒性肝炎的实验室检测结果。方法分析 295589例1995年1月至2004年12月在临湘市人民医院就诊的病毒性肝炎患者的295589 例实验室检测结果。结果肝功能指标检测阳性结果：ALT(24．0%)、AST(77．3%)、TBIL (10．0%)、DBIL(10．9%)、TP(19．2%)、ALB(24．0%)、GLB(25．2%)、A/G(6．4%)、ALP(47．7%)、GGT (47．2%)。乙型肝炎病毒(HBV)感染血清学标志及 HBV-DNA 阳性结果：HBsAg(40．9%)、anti—HBs (25．8%)、HBeAg(17．3%)、anti-HBe(30．2%)、anti—HBc(67．2%)、anti—HBc—IgM(17．0%)、HBV-DNA (98．2%)。其他病毒性肝炎的感染血清学标志为 HAV—IgM(10．8%),anti—HCV(0．8%)。就诊患者中 HBsAg 阳性率40．9%,提示 HBV 感染在就诊的病毒性肝炎患者中占较大比重。结论应加强健康教育,加强流动人员的管理,控制和预防传播流行。

Objective This study was made to get an insight into the laboratory diagnostic test results of hepatitis A, B, C in Linxiang City. Methods Laboratory findings of 295 589 patients with viral hepatitis from Jan 1995 to Dec 2004 were analyzed. Results The results of liver function tests were as follows： ALT（24.0%）, AST（77.3%）, TBIL（10.0%）, DBIL（10.9%）, TP（19.2%）, ALB （24.0%）, GLB （25.2%）, A/G（6.4% ）, ALP （47.7%）, GGT （47.2%）. Positive serological findings of hepatitis B and HBV-DNA included HBsAg （40.9%）, anti-HBs （25.8%）, HBeAg （17.3%）, anti-HBe （30.2%）, anti-HBc （67.2%）, HBc-IgM （17.0%）, HBV-DNA （98.2%）. Other positive serological makers for virus hepatitis were HAV-IgM （10.8%）, anti-HCV （0.8%）. The positive rate of HBsAg accounted for 40.9% of the consulted patients, indicating HBV infection was a predominant culprit in viral hepatitis. Conclusion Health education and floating population management should be strengthened to contribute to the prevention and control of this epidemic.