某医院住院患者乙肝患病率调查

Hepatitis B infection rate of inpatients at Shuyang People＇s Hospital

目的 了解沭阳县人民医院住院患者乙肝感染情况及检验结果模式.方法 回顾性分析201 1年7月至2013年7月我院住院患者中所有检查乙肝定量患者,用时间分辨荧光免疫测定乙肝五项,0.2 ng/ml＜HBsAg＜10 ng/ml及HBsAg和HBsAb同时阳性的检测结果用上海科华乙肝定性试剂复核.结果 共检测11 826例,HBsAg阳性者768人,阳性率6.5％; HBsAg检测结果为0.2～1.0 ng/ml、1.1～10.0 ng/ml、10.1～100.0 ng/ml、100.1～225.0 ng/ml、＞225.0 ng/ml的人数分别为10人、27人、86人、119人、526人,阳性比率分别为1.3％、3.5％、11.2％、15.5％、68.6％; HBsAg和HBsAb同时阳性者占1.3％（10/768）;HBsAg、HBeAg和HBcAb同时阳性者占15.5％（199/768）,HBsAg、HBeAb和HBcAb同时阳性者占62.8％（482/768）.结论 本次被调查者的患病率比较高,应依据感染模式做到早预防、降低感染率,提高本地区人群的健康水平.

Objective To understand the situation and detection results of hepatitis B infection of the inpatients at Shuyang People＇s Hospital.Methods Inpatients checked quantitative HBV from July 2011 to July 2013 at Shuyang People＇s Hospital were retrospectively analyzed.Five hepatitis B indicators were tested by time-resolved fluorescence immunoassay.If0.2 ng/ml 〈 HBsAg 〈 10 ng/ml and both HBsAg and HBsAb were positive,the hepatitis B test results were rechecked.Results 11 826 cases were detected.768 cases were positive in HBsAg,with a positive rate of 6.5%.HBsAg test results were 0.2-1.0 ng/ml,1.1-10.0 ng/ml,10.1-100.0 ng/ml,100.1-225.0 ng/ml,and 〉 225 ng / ml,with 10 cases,27 cases,86 cases,119 cases,and 526 cases,respectively; the positive rates were 1.3%,3.5%,11.2%,15.5%,and 68.6%.1.3% （10/768） were positive in HBsAg and HBsAb,15.5% （199/768） in HBsAg,HBeAg,and HBcAb,and 62.8% （482/768） in HBsAg,HBeAb,and HBcAb.Conclusions The investigation showed that the infection rate was high.Early preventive vaccination basing on the infection mode can improve the health level of the people at Shuyang.