CAJ | 학술논문

目的：分析甘肃某地区住院乙肝患者的病案资料，了解该地区乙肝住院患者发病的特点，为制定预防与控制策略提供依据。方法：收集2004-2008年甘肃某地区乙肝住院患者的163例病案资料进行回顾性分析。结果：该地区乙肝住院患者在性别分布上以男性为主，118例，占72.39%；年龄以25～59岁组（100例，占61.35%）和0～14岁组(25例，占15.34%)为主；职业以农民(68.10%)和学生(17.79%)多见；两对半分布模式以“小三阳”和“大三阳”为主高达54.60%。结论：该地区人群乙肝病毒感染形势严峻，应该继续加强对高危人群尤其是以农民为主的中年人和以学生为主的儿童健康教育，侧重对男性高危人群的乙肝病毒感染监测力度，加强对乙肝病毒感染急性期患者的管理，同时提高对高危人群的乙肝疫苗接种力度。
목적：분석감숙모지구주원을간환자적병안자료，료해해지구을간주원환자발병적특점，위제정예방여공제책략제공의거。방법：수집2004-2008년감숙모지구을간주원환자적163례병안자료진행회고성분석。결과：해지구을간주원환자재성별분포상이남성위주，118례，점72.39%；년령이25～59세조（100례，점61.35%）화0～14세조(25례，점15.34%)위주；직업이농민(68.10%)화학생(17.79%)다견；량대반분포모식이“소삼양”화“대삼양”위주고체54.60%。결론：해지구인군을간병독감염형세엄준，응해계속가강대고위인군우기시이농민위주적중년인화이학생위주적인동건강교육，측중대남성고위인군적을간병독감염감측력도，가강대을간병독감염급성기환자적관리，동시제고대고위인군적을간역묘접충력도。
Objective:To provide evidence for prevention and stragety formulation by analyzing the data of medical records of inpatients suffering from hepatitis B in a district of Gansu and knowing clinical features of inpa-tients. Method: The data of 163 patients from 2004 to 2008 were collected and analyzed restrospectively. Result:There were 118 cases of male patients and reached 72.39%;the patients were the middle-aged people aged between 25 to 59 years (100 cases, 61.35%) and the children aged between 0 and 14 (25 cases, 15.34%);most of the patients were peasants (68.10%) and students (17.79%);serum markers detection results of hepatitis B virus infection showed that patients with positive HBeAg, negative HBeAb, and the ones with negative HBeAg, positive HBeAb covered 54.60%. Conclusion:The situation of hepatitis B virus in the district is severe, health education for high-risk group, especially the middle-aged people, mainly the peasants, and the children, the students mainly, should be enhanced, monitoring intensity of hepatitis B virus infection for high-risk group, especially the male, should be increased, the management for the patients with acute hepatitis B infection should be strengthened and the vaccination against hep-atitis B should be improved at the same time.