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目的了解无锡市锡山区从业人员对修改检验项目实施后健康体格检查的情况,为卫生监督及疾病预防控制提供科学依据。方法取受检者静脉血,血清丙氨酸氨基转移酶(ALT)使用全自动生化仪采用酶学速率法测定;抗-HAV IgM、抗-HEV IgM采用酶联免疫吸附试验(ELISA)检测。结果 2012-2013年无锡市锡山区从业人员体检共17 438人,ALT异常1 318人,异常率为7.56%;抗-HAV IgM阳性1人,抗-HEV IgM阳性12人,总阳性率为0.07%。结论从业人员中检测到一定比例的ALT异常、少数抗-HAV和HEV IgM抗体阳性个体,ALT异常率与IgM阳性率分布不一致,应全面开展卫生宣传和监督监测,加强从业人员体检,提升预防控制水平,保障地区居民健康。
Objective To understand the situation of health examination in Xishan District of Wuxi City after the implementation of modified test items and provide scientific evidence for health supervision and disease prevention and control. Methods The venous blood and serum ALT were measured by enzyme-linked immunosorbent assay (ELISA). Anti-HAV IgM and anti-HEV IgM were detected by enzyme-linked immunosorbent assay (ELISA). Results A total of 17 438 medical examinations were performed in Xishan District of Wuxi City between 2012 and 2013. There were 1 318 ALT abnormalities with an abnormality rate of 7.56%. One anti-HAV IgM was positive and 12 anti-HEV IgM was positive. The overall positive rate was 0.07 %. Conclusions A certain proportion of ALT abnormalities, a few anti-HAV and HEV IgM antibody positive individuals were detected in practitioners. The distribution of ALT abnormality and IgM positive rate was inconsistent. Health publicity and monitoring should be carried out comprehensively so as to strengthen physical examination of practitioners and enhance prevention and control Level, to protect the health of local residents.