论文部分内容阅读
目的分析湖北省乙型病毒性肝炎(乙肝)的报告发病特征和影响因素,提出监测和防控建议。方法对法定传染病报告系统报告的乙肝病例、乙肝病例报告质量调查资料进行分析。结果湖北省乙肝报告发病率呈逐年上升趋势,无明显季节高峰,但不同人群发病趋势不同,15岁以下儿童发病率和构成比呈逐年下降趋势,15岁以上青壮年为高发人群,发病人群职业一直以农民为主,所占比例逐年上升;各级医务人员对乙肝诊断分类标准掌握均不够,乙肝病例存在误报、重复报告。结论实施儿童乙肝计划免疫后,儿童发病得到有效控制。乙肝报告发病率升高与误报、慢性病例重复报告有关,需进一步完善乙肝监测系统,加强各级临床医生乙肝知识培训,提高监测数据准确性,为乙肝防治工作提供依据。
Objective To analyze the reported incidence and influencing factors of hepatitis B virus (HB) in Hubei Province, and to put forward the suggestions of monitoring and prevention and control. Methods The report of the legal infectious disease reporting system of hepatitis B cases, hepatitis B case report quality survey data analysis. Results The incidence of hepatitis B in Hubei Province showed an upward trend year by year with no obvious seasonal peak. However, the incidence of hepatitis B in different populations tended to decrease. The incidence and constituent ratio of children under 15 years showed a declining trend year by year. Young adults over 15 years of age were high incidence and occupational diseases Has been dominated by peasants, the proportion increased year by year; medical staff at all levels of hepatitis B diagnostic criteria are not mastered, hepatitis B cases exist false positives, repeated reports. Conclusion After the implementation of hepatitis B immunization program in children, the incidence of children is effectively controlled. Hepatitis B reporting increased incidence of false positives, chronic case reports repeated, the need to further improve the hepatitis B monitoring system, to strengthen knowledge of hepatitis B at all levels of clinicians training to improve the accuracy of monitoring data for the prevention and treatment of hepatitis B provide the basis.