摘要
目的分析青岛地区出入境人员 HBV 血清学标记感染模式,以确定重点监测人群,为采取有效预防控制措施提供科学依据。方法对部分青岛地区2004～2005年出入境人员的 HBV 检出情况及 HBV 感染模式进行分析。结果 HBsAg 总阳性率为3.35%(157/4691),157例 HBsAg 阳性者中共出现9种 HBV 感染模式,其中常见模式5种,包括:HBsAb,阳性率为35.9%:HBsAg/HBeAb/HBcAb,阳性率为1.75%:HBsAg/HBeAg/HBcAb,阳性率为0.8%:HBsAg/HBcAb,阳性率为0.7%:HBsAb/HBcAb,阳性率为0.7%。少见模式4种,包括 HBsAg/HBeAg:HBsAg/HBsAb/HBcAb;HBeAb/HBcAb;HBcAb。结论青岛地区出入境人员中的 HBsAg 阳性率虽然相对较低,但仍应引起重视,要根据其不同的感染模式来确定是否有传染性,从而采取不同的处理措施。"大三阳"感染者,有较强的传染性,对这部分感染者应及时隔离并重点控制管理。
Objective To focus main surveillance population and provide scientific basis for take effective prevention by analyzing serological markers infection model of HBV in entry and exit population of Qingdao Port. Methods To analyze infection model of HBV in entry and exit population of Qingdao Port between 2004 and June of 2005. Results Among the 4691 persons tested, 157 were shown to be positive, with a positive rate of 3.35 %; There were9 infection models among 157 positive samples. 5 of them were predominant model, including HBsAb （ ＋ ）with rate of 35.9 % ; HBsAg （ ＋ ） HBeAg （ ＋ ） HBcAb（ ＋ ）with rate of 1.75 %; HBsAg （ ＋ ） I-IBeAb （ ＋ ） HBcAb （ ＋ ） with rate of 0,8 %; HBsAb （ ＋ ） HBcAb （ ＋ ）with rate of 0.7 %. The rest were minority model. Including HBsAg（ ＋ ）HBeAg（ ＋ ）; HBsAg （ ＋ ） HBsAb （ ＋ ） HBcAb （ ＋ ）; HBeAb （ ＋ ） HBcAb （ ＋ ）; HBcAb （ ＋ ）. Conclusions Though the persons with HBV were lower in Qingdao area than in the other area of china, they should be especially noticed too; Some measures should be taken according different infection models with infectious or no infectious; For example, There are strongly infectious persons with the HBsAg（ ＋ ）-HBeAg （ ＋ ）- HBcAb （ ＋ ） ,they should be separated and control.
关键词
出入境人员
HBV检测
感染模式
entry-exit population
HBV surveillance, infection model
