甘肃某地区163例乙肝住院患者病案分析

Analysis on Medical Records of 163 Inpatients with Hepatitis B in a District of Gansu

目的：分析甘肃某地区住院乙肝患者的病案资料，了解该地区乙肝住院患者发病的特点，为制定预防与控制策略提供依据。方法：收集2004—2008年甘肃某地区乙肝住院患者的163例病案资料进行回顾性分析。结果：该地区乙肝住院患者在性别分布上以男性为主，118例，占72．39％；年龄以25—59岁组（100例，占61．35％）和0-14岁组（25例，占15．34％）为主；职业以农民（68．10％）和学生（17．79％）多见；两对半分布模式以“小三阳”和“大三阳”为主高达54．60％。结论：该地区人群乙肝病毒感染形势严峻，应该继续加强对高危人群尤其是以农民为主的中年人和以学生为主的儿童健康教育，侧重对男性高危人群的乙肝病毒感染监测力度，加强对乙肝病毒感染急性期患者的管理，同时提高对高危人群的乙肝疫苗接种力度。

Objective： To provide evidence for prevention and stragety formulation by analyzing the data of medical records of inpatients suffering from hepatitis B in a district of Gansu and knowing clinical features of inpa- tients. Method： The data of,163 patients from 2004 to 2008 were collected and analyzed restrospectively. Result： There were 118 cases of male patients and reached 72.39%; the patients were the middle-aged people aged between 25 to 59 years （100 cases, 61.35%） and the children aged between 0 and 14 （25 cases, 15.34%）; most of the patients were peasants （68.10%） and students （17.79%）; serum markers detection results of hepatitis B virus infection showed that patients with positive HBeAg, negative HBeAb, and the ones with negative HBeAg, positive HBeAb covered 54.60%. Conclusion： The situation of hepatitis B virus in the district is severe, health education for high-risk group, especially the middle-aged people, mainly the peasants, and the children, the students mainly, should be enhanced, monitoring intensity of hepatitis B virus infection for high-risk group, especially the male, should be increased, the management for the patients with acute hepatitis B infection should be strengthened and the vaccination against hep- atitis B should be improved at the same time.