2004-2015年西安市15岁以下人群乙肝流行病学特征分析

发布时间：2018-05-21 07:10

本文选题：肝炎 + 乙型　；参考：《现代预防医学》2017年17期

【摘要】：目的分析2004-2015年西安市15岁以下人群的乙肝流行特征,为制定有针对性的防控措施提供科学依据。方法采用描述流行病学方法对2004-2015年西安市15岁以下人群的乙肝资料进行分析,采用SPSS19.0进行数据分析。结果 2004-2015西安市共累计报告15岁以下人群乙肝病例2 310例,年均发病率为15.47/10万,2005-2015年发病率整体呈下降趋势(X_(趋势)~2=2 783.784,P0.001);西安市中心地区(15.33/10万)和城郊结合区(19.38/10万)均比郊区(12.31/10万)的年均发病率高;13~14岁年龄组发病率最高(28.47/10万),其次是1岁组(26.84/10万);2010-2015年293例乙肝病例的免疫史中,全程免疫接种占54.95%,首针24小时及时接种率为72.35%。结论西安市15岁以下人群乙肝发病有明显下降趋势。应进一步加强乙肝疫苗接种工作,特别要提高新生儿乙肝疫苗首针及时接种率和全程接种率,同时加强乙肝监测,对HBs Ag阳性母亲积极开展孕期抗病毒药物治疗,加快控制乙肝。
[Abstract]:Objective to analyze the epidemic characteristics of hepatitis B in population under 15 years old in Xi'an from 2004 to 2015, and to provide scientific basis for the prevention and control measures. Methods the data of patients under 15 years old in Xi'an from 2004 to 2015 were analyzed by descriptive epidemiology and SPSS19.0. Results A total of 2,310 cases of hepatitis B were reported in Xi'an from 2004 to 2015. The average annual incidence rate was 154.7 / 100 000 and the overall incidence rate in 2005-2015 showed a downward trend. The annual incidence rate was higher than that in suburban area (123,310 / 100,000) and the highest incidence rate of 284,710 thousand in the age group of 1313 14 years old (P 0.001%) and the highest incidence rate of 284,710 000% in the age group of 14 years of age, compared with 123.31% / 100 000 in the suburban area of Xi'an central area (P 0.001 million) and the average annual incidence rate of 193,800% -100 000 in the suburban area was higher than that in the suburban area. Next, in the immunization history of 293 hepatitis B cases from 2010 to 2015, in the 1-year-old group, 26.84 / 100,000. Total immunization accounted for 54.95%, and the rate of 24 hours timely inoculation of the first needle was 72.35. Conclusion the incidence of hepatitis B in the population under 15 years old in Xi'an has a significant downward trend. It is necessary to further strengthen the work of hepatitis B vaccine vaccination, especially to increase the rate of newborn hepatitis B vaccine vaccination in time and in the whole process, at the same time, to strengthen the monitoring of hepatitis B, and to actively carry out antiviral therapy during pregnancy for mothers with positive HBs Ag. Speed up the control of hepatitis B.
【作者单位】：第四军医大学流行病学教研室;西安市疾病预防控制中心计划免疫科;
【分类号】：R181.3;R512.62

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