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目的 了解飞行人员HBsAg的携带率及知晓率,探讨飞行人员HBsAg携带者的健康鉴定及日常航卫保健原则。方法 1992～1993年到我院健康疗养的512名飞行人员,采用ELISA法检测乙肝病毒感染的血清标志物HBsAg、抗-HBs、HBeAg、抗-HBe和抗-HBc。结果 HBsAg的携带率为6.84％,其中有4名主动要求检测,知晓率为0.78％。结论HBsAg携带者的飞行健康鉴定,在关注症状、体征及肝功能的同时,应考虑病毒复制的状况。病毒性肝炎治愈后,地面观察的时间应视疾病过程决定,不宜统一限定在一年左右。
Objective To understand the carrier rate and awareness rate of HBsAg among pilots and to explore the health identification and routine health care principles of HBsAg carriers in pilots. Methods A total of 512 pilots from 1992 to 1993 in our hospital were enrolled in this study. Serum markers of hepatitis B virus (HBsAg), anti-HBs, HBeAg, anti-HBe and anti-HBc were detected by ELISA. Results The carrying rate of HBsAg was 6.84%. Four of them took the initiative to test, the awareness rate was 0.78%. Conclusion The flight health assessment of HBsAg carriers should pay attention to the status of virus replication while paying attention to the symptoms, signs and liver function. After the cure of viral hepatitis, the time of ground observation should be decided according to the disease process, should not be uniformly limited to about one year.