CAJ | 학술논문

目的完善以乙型肝炎(乙肝)为主的肝炎报告标准,建立报告管理模式.方法确立有乙肝病例资源、地域相对独立的地区为示范区;示范区距天津市区45 km,总面积1113.83 km2,总人口32万人,其中非农业人口21万人,占总人口的67%.近年,该区乙肝报告发病率居全市18区县之首,2006年、2007年报告发病率分别为113.53/10万和123.90/10万.指定辖区二级及以上综合医疗机构为网络报告的定点医院;对首次确诊报告的肝炎患者均建立登记卡.结果 2007年6月至2008年6月,定点医院接诊报告肝炎患者占辖区医院报告肝炎患者总数的97%(323/331);建卡率为97.21%(314/323);2008年1-6月定点医院报告乙肝患者(101例)较去年同期(261例)下降61.30%.结论制定以乙肝为主的肝炎报告"标准"和管理"模式"势在必行,但必须有卫生行政部门的支持才能实施.
목적 완선이을형간염(을간)위주적간염보고표준,건립보고관리모식.방법 학립유을간병례자원、지역상대독립적지구위시범구;시범구거천진시구45 km,총면적1113.83 km2,총인구32만인,기중비농업인구21만인,점총인구적67%.근년,해구을간보고발병솔거전시18구현지수,2006년、2007년보고발병솔분별위113.53/10만화123.90/10만.지정할구이급급이상종합의료궤구위망락보고적정점의원;대수차학진보고적간염환자균건립등기잡.결과 2007년6월지2008년6월,정점의원접진보고간염환자점할구의원보고간염환자총수적97%(323/331);건잡솔위97.21%(314/323);2008년1-6월정점의원보고을간환자(101례)교거년동기(261례)하강61.30%.결론 제정이을간위주적간염보고"표준"화관리"모식"세재필행,단필수유위생행정부문적지지재능실시.
Objective To establish the focus management mode and the report criteria more perfectly for the virus hepatitis eases, espoeially for the hepatitis B. Methods One district was set as the research area,in which there was enough cases resource and relatively separated from the other districts,then a first or second-class hospital was appointed to take the eases focus diagnosis, report and management. Results The focus hospitals had reported 97% (323/331) of cases in the research area between June, 2007 and June,2008; moreover, the rate in establishing ease-card was 97. 21% (314/323), as compared with that in period of 2007 (261), the eases reported declined 61.30% in the first half year of 2008 (101). Conclusion It should be an imperative situation to establish a report criteria and management mode for vires hepatitis (hepatitis B), however it is necessary to have more supports from health administrations.