某二甲医院2019—2020年丙型病毒性肝炎流行特征分析

Analysis of the epidemic characteristics of hepatitis C in a second-class hospital from 2019 to 2020

目的分析2019—2020年某二甲医院丙型病毒性肝炎(简称丙肝)的发病趋势和流行特征,为制定有效的防控措施提供科学依据。方法回顾2019—2020年某二甲医院收治的291例丙肝患者的临床资料,分析其流行病学特征。结果2020年,该院收治丙型病毒性肝炎患者(138例)较2019年(153例)有所下降;全年各月均有病例报告,未表现出明显的季节性分布特征。291例患者中,男性构成比为64.95%,职业分布以农、渔(船)民业为主(36.08%),主要来自农村(44.33%)。随着月收入、受教育程度的增加,丙肝患者构成比降低;41~60岁年龄段患者构成比(39.18%)、已婚或同居患者构成比(57.73%)均为同类别中最高。结论某医院收治的丙肝患者中农村中年男性的占比高,丙型肝炎防治工作需针对重点人群、重点地区进行宣传教育,根据不同的流行特征采取相应的防控措施。

Objective To analyze the incidence trend and epidemic characteristics of C-type viral hepatitis(hereinafter referred to as hepatitis C)in a second-class hospital from 2019 to 2020 so as to provide scientific basis for formulating effective prevention and control measures.Methods The clinical data of 291 patients with hepatitis C admitted to a second-class hospital from 2019 to 2020 were reviewed,and the epidemiological characteristics were analyzed.Results In 2020,the number of patients with hepatitis C admitted to the hospital(138 cases)decreased from that in 2019(153 cases).Cases were reported in all months of the year,without obvious seasonal distribution characteristics.Among the 291 patients,the proportion of males was 64.95%,and the occupational distribution was dominated by agriculture,fishing(boat)and civilian industry(36.08%),mainly from rural areas(44.33%).With the increase of monthly income and level of education,the proportion of hepatitis C patients decreased.The constituent ratio of patients aged 41 to 60 years(39.18%)and married or cohabiting patients(57.73%)were the highest among the same group.Conclusions Rural middle-aged men account for a high proportion of hepatitis C patients admitted to a hospital.In hepatitis C prevention and control work,publicity and education should be carried out in key groups and areas,and corresponding prevention and control measures should be taken according to different epidemic characteristics.