2003年度部队病毒性肝炎住院病例特征及费用分析

发布时间：2018-08-12 11:04

【摘要】：目的对2003年度部队病毒性肝炎住院病例进行分析,为掌握部队病毒性肝炎发病状况及流行特征提供参考。方法采集总后勤部卫生部信息中心的综合数据库资料,以EXCEL和SPSS对病例特征及费用进行统计分析。结果2003年部队病毒性肝炎住院病例共2757例,其中新发病例占70.62%。在住院病例中,甲型肝炎占6.96%、乙型肝炎占61.04%、丙型肝炎占5.15%,戊型肝炎占2.58%,未分型占22.78%,重叠感染占1.02%;其中60.71%为乙型合并其他型别。年龄分布:病例平均年龄为27岁,甲、乙、丙、戊型肝炎的平均年龄分别为:22岁、27岁、37岁和36岁,年龄分布差异有显著性(P0.01)。职别分布:甲型肝炎以战士为主(64.06%),乙型肝炎中干部(41.89%)与战士(47.53%)病例相近,丙型肝炎、戊型肝炎均以干部为主,分别占58.45%、57.75%。平均住院天数50d,住院病例所用的住院费用中,以戊型肝炎平均费用为最高。结论部队病毒性肝炎以乙型肝炎为主,各型肝炎人群特征不同,尤其是戊型肝炎,临床症状重,易暴发,对部队具有潜在危害。由于病毒性肝炎是影响部队官兵健康以及耗费大量卫生资源的重要传染病,对其的防治应加以重视。
[Abstract]:Objective to analyze the inpatients with viral hepatitis in army in 2003 and to provide reference for mastering the incidence and epidemic characteristics of viral hepatitis in army. Methods the data of comprehensive database of Ministry of Health Information Center of General Logistics Department were collected, and the case characteristics and cost were statistically analyzed by EXCEL and SPSS. Results there were 2757 hospitalized cases of viral hepatitis in the army in 2003, of which 70.62% were new cases. In the hospitalized cases, hepatitis A accounted for 6.96%, hepatitis B for 61.04, hepatitis C for 5.15, hepatitis E for 2.58, non-typing for 22.78 and superinfection for 1.02.Of them, 60.71% were type B combined with other types. Age distribution: the average age of the cases was 27 years old. The average age of hepatitis A, B, C and E were: 1. 22 years old, 27 years old, 37 years old and 36 years old respectively. There was significant difference in age distribution (P0.01). The distribution of job types was as follows: soldiers were predominant in hepatitis A (64.06%), cadres in hepatitis B (41.89%) and soldiers (47.53%) had similar cases. Both hepatitis C and E were mainly composed of cadres, accounting for 58.45% and 57.75% respectively. The average hospitalization time was 50 days, and the average cost of hepatitis E was the highest. Conclusion Hepatitis B is the main viral hepatitis in the army, and the characteristics of different hepatitis groups are different, especially hepatitis E, the clinical symptoms are serious and easy to break out, which is potentially harmful to the army. As viral hepatitis is an important infectious disease which affects the health of officers and soldiers and consumes a lot of health resources, the prevention and treatment of viral hepatitis should be paid more attention to.
【作者单位】：军事医学科学院微生物流行病研究所病原微生物生物安全国家重点实验室军事医学科学院微生物流行病研究所病原微生物生物安全国家重点实验室总后勤部卫生部总后勤部卫生部总后勤部卫生部军事医学科学院微生物流行病研究所病原微生物生物安全国家重点实验室
【基金】：全军“十五”指令性课题(No.01L082)
【分类号】：R82

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