凉山州布拖县2010-2020年病毒性肝炎发病情况分析

Analysis on the morbidity of viral hepatitis in Butuo County,Liangshan from 2010 to 2020

目的病毒性肝炎的防控是世界性公共卫生问题,了解布拖县病毒性肝炎流行情况,从而为今后搞好病毒性肝炎防控提供依据。方法收集国家传染病报告系统当地病毒性肝炎报告的基本信息,采用描述流行病学的方法,以spss20.0统计软件进行分析,计量资料以T检验,计数资料采用X2检验进行分析。结果2010-2020年共报告病毒性肝炎病例1511例,年平均发病率为71.35/10万,年平均标化发病率为67.03/10万,其中男性1169例,年平均发病率为105.92/10万,年平均标化发病率为51.58/10万;女性342例,发病率为33.73/10万,年平均标化发病率为15.45/10万。男性发病明显高于女性,X^(2)=386.233,P<0.001,男:女=3:1。平均发病年龄30.26±14.33岁,其中男性平均30.96±13.88岁,女性平均29.25±14.11岁,男性平均发病年龄比女性大1.71岁,T=5.994,P<0.001,发病人群以青壮年为主,主要发病年龄15~45岁。发病时间呈波浪上升趋势,近年急剧上升;分型以乙型、丙型、甲型为主。前3位的职业构成为农牧民92.9%、散居儿童3.6%、学生2.4%。结论该县病毒性肝炎发病呈上升趋势,应加强防控。

Objective The prevention and control of viral hepatitis is a worldwide public health problem.To understand the epidemic situation of viral hepatitis in Butuo County can provide basis for the prevention and control of viral hepatitis in the future.Method The basic information of local viral hepatitis reports in the national infectious disease reporting system was collected and analyzed by SPSS 20.0 statistical software.The measurement data were analyzed by T-test and the counting data were analyzed by X2 test.Result The annual average incidence rate was 71.35/10 million,and the annual standardized incidence rate was 67.03/10 million,of which 1169 were male,the average annual incidence was 105.92/10 million,the annual standardized incidence rate was 51.58/10 million,and 342 cases were female,the incidence rate was 33.73/10 million,the annual standardized incidence rate was 15.45/10 million.The incidence of male was significantly higher than that of women,X^(2)=386.233,P<0.001,male:female=3:1;The average age of onset was 30.26±14.33 years,of which the average age of male was 30.96±13.88 years and the average age of female was 29.25±14.11 years.The average age of onset of male was 1.71 years older than that of female,t=5.994,P<0.001;The onset time showed a wave upward trend and increased sharply in recent years;The main types were type B,type C and type A;The top three occupations were 92.9%of farmers and herdsmen,3.6%of scattered children and 2.4%of students.Conclusion The incidence of viral hepatitis in this county is increasing,and prevention and control should be strengthened.