北京市血液透析患者肝炎等特殊感染合并症分析

Etiology of hepatitis, H/V infection complications in prevalent hemodialysis patients in Beijing area-the Interpretation of the 2007 Beijing HIKQCIC report

目的分析2007年北京市血液透析患者肝炎等感染合并症发生情况。方法北京市血液透析质控和改进中心（Beijing Hemodialysis Quality Control＆Improvement Center，BJHDQCIC）负责组织收集各血液透析中心2007年在行血液透析患者资料并使用汇百通软件汇总，本文仅分析其中肝炎等特殊感染合并症部分。结果2007年北京地区行血液透析患者共7795例，男女比例分别为51．93％，48．07％。乙型肝炎、丙型肝炎等并非透析患者主要病因。乙型肝炎e抗原（HBeAg）、乙型肝炎表面抗原（HBsAg）、丙型肝炎病毒核糖核酸（HCV-RNA）、艾滋病病毒（HIV）、抗丙型肝炎病毒抗体（HCV）阳性率分别为4．29％、6．34％、1．41％、0．06％和4．24％。抗HCV阳性率显著高于HCV-RNA阳性率。结论由于对易感因素的强有力控制，北京市血液透析患者乙型肝炎、丙型肝炎发病率较低，但随着艾滋病的发病率逐年增高，血液透析患者HIV预防工作应引起高度重视。

Objective To analyze the incidence of hepatitis and HIV infection complications in prevalent hemodialysis patients in Beijing area, 2007. Methods The data of hemodialysis patients from hemodialysis centers in 2007 were collected by BJHDQCIC and analyzed by using ＂hemodialysis management software＂ produced by Beijing HUIBAIYONG Company. The incidence of hepatitis and HIV infection in hemodialysis patients was analyzed. Results There were 7795 hemodialysis patients, including 51.93% males and 48. 07% females. Hepatitis B and hepatitis C were not the main compli- cations. The positive rate of HBeAg, HBsAg, HCV-RNA, HIV and anti-HCV was 4. 29%, 6. 34%, 1.41%, 0. 06% and 4. 24% respectively. Anti-HCV positive rate was significantly higher than HCVRNA positive rate. Conclusions Because of the control of predisposing factors, the incidence of hepatitis B and hepatitis C was relatively low in Beijing area, but with increased incidence of AIDS year by year, attention should be paid to HIV prevention in hemodialysis patients.