胃镜检查前HBV、HCV、HIV筛检指标的调查分析

An epidemiological analysis of HBV, HCV and HIV screening marker before gastroscopy

目的 了解胃镜检查人群中HBV、HCV、HIV的感染状况及其流行特点。方法 应用酶联免疫试验 (EIA)检测血清中HBsAg、抗 HCV、抗 HIV。 结果 胃镜检查人群HB sAg、抗 HCV、抗 HIV阳性率分别为 10 7%、2 1%和 0 ;活检者与非活检者HBsAg、HCV感染率分别为 9 9%、3 9% ;活检组与非活检组之间HCV感染率差异有显著性 (P <0 0 5 ) ;上消化道癌症患者较非癌肿患者HCV感染率更高(P <0 0 1)。

Objective To investigate epidemiological characterist ics of HBV, HCV and HIV infections among people who had gastroscopic examination Methods Enzyme immunoassays (EIA) were used to detect serum HBsAg, anti HCV and anti HIV. Results HBsAg, anti HCV and anti HIV were tested positive among 10 7%, 2 1% and 0% respectively of those who had undergone gastroscopic screening HBsAg and anti HCVwere tested positive among 9 9% and 3 9% respectively of patients undergone endoscopic biopsy The difference of the infection rates of HCV between biopsy group and non biopsy group was of statistical significance ( P <0 05) The infection rates among patients suffering upper gastrointestinal tract carcinoma were higher than those among non carcinoma patients ( P <0 01). Conclusion The patients undergone gastroscopy check is at higher risk for hepatitis virus infection