摘要
目的分析中国（未包括香港、澳门特别行政区和台湾地区,下同）乙型病毒性肝炎（乙肝）报告发病持续上升的原因,提出控制建议。方法对中国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、乙肝监测点资料进行分析。结果中国乙肝报告发病率呈逐年上升趋势,但2005-2007年报告乙肝病例中以慢性乙肝（占35.75%-46.73%）和未分类（占54.29%-44.57%）为主,急性乙肝占报告乙肝病例的9.96%-8.70%,发病率未见上升（7.52/10万-7.74/10万）。基层单位乙肝实验室诊断能力不足,医务人员对报告标准掌握不一。结论中国乙肝报告发病率高的原因与乙肝病例诊断,急、慢性乙肝合并报告和慢性病例重复报告有关。对急性病毒性肝炎开展实验室诊断非常必要。
Objective Determine the cause of increasing reported hepatitis B cases and provide the strategies for controlling hepatitis B in China in the future.Methods Analyzing the reported hepatitis B cases from National Notifiable Disease Reporting System,quality of report from investigation in special study and data from pilot surveillance on acute hepatitis B.Results The reported incidence of hepatitis B was increased,but most of cases reported were chronic hepatitis B（35.75%～46.73%）and un-classification（54.29%～44.57%）,acute hepatitis B was 9.96%～8.70% of reported hepatitis B cases,incidence of acute hepatitis B was not increased based on the surveillance data（7.52/100,000～7.74/100,000）.Physicians at grass root level had less capacity on better understand the reported criteria of hepatitis B and laboratory equipment was shortage.Conclusions Reasons for increasing incidence of hepatitis B was mainly misdiagnosis,both acute and chronic were reported and overlapping report of chronic cases.It is necessary to make laboratory diagnosis for acute Hepatitis B.
出处
《中国疫苗和免疫》
CAS
2008年第5期413-417,共5页
Chinese Journal of Vaccines and Immunization
基金
国家科学技术攻关课题"我国乙型病毒性肝炎流行规律和防治对策研究
课题号:2004BA718B01
