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[目的]了解饮食从业人员乙肝表面抗原(HBsAg)、E抗原(HBeAg)等五项以及丙氨酸氨基转移酶(ALT)异常情况,防止乙型肝炎在人群中传播。[方法]对崂山区2006年饮食从业人员和从事与食品相关的其他人员包括服务员、行政管理人员共8067人,采用乳胶法进行乙肝五项检测,用赖氏法测定ALT,并进行比较分析。[结果]2006年共检测8067人,HBsAg阳性者218例,阳性率2.70%。其中,小三阳(HBsAg、HBeAb、HBcAb均阳性)115例,阳性率为1.43%;大三阳(HBsAg、HBeAg、HBcAb均阳性)89例,阳性率为1.10%;HBsAg、HBcAb阳性者4例,单纯HBsAg阳性者6例,HBsAg、HBeAg阳性者4例。HBsAg阳性者ALT异常18例,异常率为8.25%,明显高于HBsAg阴性者异常率0.20%,差异有统计学意义(P<0.01)。[结论]崂山区饮食从业人员HBsAg阳性率低于一般人员,由于工种的关系,加强监测十分必要。另外对ALT异常者应进一步明确诊断,以防止传染病传播。
[Objective] To understand the abnormalities of hepatitis B surface antigen (HBsAg), E antigen (HBeAg) and alanine aminotransferase (ALT) in diet practitioners to prevent the spread of hepatitis B in the human population. [Method] A total of 8067 food service workers and other personnel engaged in food related services, including waiters and administrative staff, in Laoshan District in 2006 were enrolled. Five latexes of hepatitis B were detected by latex method. ALT was determined by Lai’s method and compared. [Results] A total of 8067 people were tested in 2006, 218 cases were HBsAg positive, the positive rate was 2.70%. The positive rate was 1.43% in all three positive cases (positive for HBsAg, HBeAb and HBcAb); the positive rate was 1.10% in 89 cases of HBeAg positive (HBsAg, HBeAg and HBcAb positive); 4 cases were positive for HBsAg and HBcAb , Only HBsAg-positive in 6 cases, HBsAg, HBeAg-positive in 4 cases. 18 cases of abnormal HBsAg positive ALT, the abnormal rate was 8.25%, significantly higher than the HBsAg negative rate of 0.20%, the difference was statistically significant (P <0.01). [Conclusion] The positive rate of HBsAg in diet workers in Laoshan district was lower than that of general staff. Due to the relationship of trades, it is very necessary to strengthen the monitoring. In addition to abnormal ALT should be further clear diagnosis, to prevent the spread of infectious diseases.