9年医院病毒性肝炎疾病谱变化调查分析

发布时间：2018-04-18 02:21

本文选题：病毒性肝炎 + 分析　；参考：《中华医院感染学杂志》2015年06期

【摘要】：目的分析9年医院病毒性肝炎住院患者病例数及疾病谱变化,为病毒性肝炎患者的诊治及管理提供参考。方法收集并整理了2004年1月-2012年12月瑞金医院感染科22 469例住院患者的临床资料,并进行统计和分析。结果患者乙类传染病为主,占81.63%,甲类传染病罕见占0.06%,丙类传染病占1.10%,构成比总体呈下降趋势;自2004年以来肝炎、中枢神经系统感染、麻疹、寄生虫、肠道感染住院构成比位列各种感染病前5位;在病毒性肝炎中,丙型病毒性肝炎居首位,占47.16%,其次是乙型病毒性肝炎,占44.26%,其中尤以慢性乙型病毒性肝炎为主;9年来丙型病毒性肝炎病例数明显增加,顺位由第3位升至第1位;药物性肝损害、乙型病毒性肝炎后肝硬化病例数亦明显增加。结论上海地区感染病以乙类传染病为主,各种感染病中病毒性肝炎占首位,其中尤以慢性丙型病毒性肝炎及乙型病毒性肝炎为主,丙型病毒性肝炎、药物性肝损害、乙型病毒性肝炎后肝硬化呈上升趋势。
[Abstract]:Objective to analyze the changes of disease spectrum and the number of patients with viral hepatitis in hospital for 9 years, so as to provide reference for the diagnosis, treatment and management of patients with viral hepatitis.Methods the clinical data of 22 469 inpatients in Ruijin Hospital infection Department from January 2004 to December 2012 were collected and analyzed.Results patients with class B infectious diseases were predominant, accounting for 81.63%, class A infectious diseases accounted for 0.06%, class C infectious diseases accounted for 1.10%, the composition ratio showed a downward trend, since 2004, hepatitis, central nervous system infection, measles, parasites,Among the viral hepatitis, viral hepatitis C was the first one, accounting for 47.16 percent, followed by viral hepatitis B.In the past 9 years, the number of cases of viral hepatitis C increased obviously, the number of cases rose from the third to the first, and the number of cases of liver damage caused by drugs and cirrhosis after hepatitis B also increased significantly.Conclusion the main infectious diseases in Shanghai are class B infectious diseases, among which viral hepatitis is the first, especially chronic hepatitis C and hepatitis B, viral hepatitis C and drug-induced liver damage.Liver cirrhosis after hepatitis B is on the rise.
【作者单位】：上海交通大学医学院附属瑞金医院感染科;上海交通大学附属上海市第一人民医院心内科;
【基金】：国家自然科学基金资助项目(81070334) 上海市科学技术委员会科技支撑基金项目(13401902900) 十二五“艾滋病和病毒性肝炎等重大传染病防治”科技重大专项基金(2012ZX10005004-002)
【分类号】：R512.6

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