CAJ | 학술논문

目的调查仪征市孕前健康检查的男女乙型肝炎表面抗原(HBsAg)携带情况，分析性别间乙型肝炎携带率的差异，为妇幼保健工作提供理论上的参考。方法于2011年8月至2012年7月对仪征市11个乡镇5751名孕前健康检查的男女进行HBsAg携带情况调查，采用ELISA法进行HBsAg检测，并对检测结果进行统计学分析。结果在受检的5751名检测对象中（男2665例，女3086例）共检出阳性结果333例，总检出率为5.79%，男性阳性率为7.20%，女性阳性率为4.57%，男女阳性率存在显著性差异（χ2=18.21，P<0.01）。结论仪征市孕前健康检查的男性HBsAg阳性率明显高于女性HBsAg阳性率，因此男性更应该重视对肝脏的保护，相关部门应多开展预防乙型肝炎的健康教育，加强孕前男女的HBsAg的筛查，以进一步控制和减少孕前男女的HBsAg的携带率。
목적조사의정시잉전건강검사적남녀을형간염표면항원(HBsAg)휴대정황，분석성별간을형간염휴대솔적차이，위부유보건공작제공이론상적삼고。방법우2011년8월지2012년7월대의정시11개향진5751명잉전건강검사적남녀진행HBsAg휴대정황조사，채용ELISA법진행HBsAg검측，병대검측결과진행통계학분석。결과재수검적5751명검측대상중（남2665례，녀3086례）공검출양성결과333례，총검출솔위5.79%，남성양성솔위7.20%，녀성양성솔위4.57%，남녀양성솔존재현저성차이（χ2=18.21，P<0.01）。결론의정시잉전건강검사적남성HBsAg양성솔명현고우녀성HBsAg양성솔，인차남성경응해중시대간장적보호，상관부문응다개전예방을형간염적건강교육，가강잉전남녀적HBsAg적사사，이진일보공제화감소잉전남녀적HBsAg적휴대솔。
Objective To investigate the HBsAg carrier situation among pre-pregnant persons in Yizheng city, analyze the difference in male and female group, in order to provide theoretical reference for maternal and child health care work. Methods 5751 pre-pregnant persons in 11 townships were investigated about the HBsAg carrier situation, HBsAg was detected by ELISA in these samples, and then analyzed the results. Results The positive results of 333 case were detected in 5751 subjects, the average HBsAg carrier rate was 5.79%, 7.20%in male and 4.79%in female. There was signiifcant difference between men and women (χ2=18.21, P<0.01). Conclusion The positive rate of men was signiifcantly higher than that of female, so the relevant departments should carry out health education to prevent hepatitis B. It is necessary to strengthen HBsAg screening among them in order to control and reduce the incidence of HBV.