CAJ | 학술논문

目的：了解驻闽某部甲型肝炎和戊型肝炎的流行情况。方法采用随机、分层、整群抽样的方法，抽取驻闽某部三个营的部分官兵共850人作为调查对象；应用酶联免疫吸附法（ELISA）检测甲型肝炎病毒（HAV）、戊型肝炎病毒（HEV）血的清学标志（包括IgG、IgM）。结果在接受检查的850名官兵中，抗-HAV-IgG阳性率为68.1%，抗-HEV-IgG阳性率为24.4%，两者既往感染率较高；而抗-HAV-IgM和抗HEV-IgM均为0%，远远低于我国普通人群平均感染率。来自农村的官兵抗HAV-IgG和抗-HEV-IgG阳性率分别为53.3%和19.2%；来自城市的官兵抗-HAV-IgG和抗-HEV-IgG阳性率分别为84.1%和32.8%。结论驻闽某部卫生管理较好，均无HAV、HEV现证感染；鉴于部队官兵为集体生活，福建沿海是甲型、戊型肝炎的高流行区，驻闽部队存在甲型、戊型肝炎暴发的流行条件，除加强部队食品卫生管理外，对易感人群尤其是来自农村的官兵应加强接种甲型、戊型肝炎疫苗。
목적：료해주민모부갑형간염화무형간염적류행정황。방법채용수궤、분층、정군추양적방법，추취주민모부삼개영적부분관병공850인작위조사대상；응용매련면역흡부법（ELISA）검측갑형간염병독（HAV）、무형간염병독（HEV）혈적청학표지（포괄IgG、IgM）。결과재접수검사적850명관병중，항-HAV-IgG양성솔위68.1%，항-HEV-IgG양성솔위24.4%，량자기왕감염솔교고；이항-HAV-IgM화항HEV-IgM균위0%，원원저우아국보통인군평균감염솔。래자농촌적관병항HAV-IgG화항-HEV-IgG양성솔분별위53.3%화19.2%；래자성시적관병항-HAV-IgG화항-HEV-IgG양성솔분별위84.1%화32.8%。결론주민모부위생관리교호，균무HAV、HEV현증감염；감우부대관병위집체생활，복건연해시갑형、무형간염적고류행구，주민부대존재갑형、무형간염폭발적류행조건，제가강부대식품위생관리외，대역감인군우기시래자농촌적관병응가강접충갑형、무형간염역묘。
Objective To study the prevalence and the epidemiologic features of hepatitis A and E in Fujian of a certain army. Methods According to the principle of stratiifed random cluster sampling method, 850 soldiers were investigated from 3 battalions of a certain army in Fujian. Anti-hepatitis A (HAV) and hepatitis E (HEV), including anti-IgG and IgM, were screened by enzyme-linked immunosorbent assay (ELISA). Results Anti-HAV lgM and anti-HEV lgM of all the 850 detected soldiers were negative, however the positive rate of anti-HAV lgG and anti-HEV lgG were 68.1%and 24.4%, respectively. Anti-HAV lgG positive rate of soldiers from village and cities were 53.3%and 84.1%, respectively;anti-HEV lgG positive rate of soldiers from village and cities were 19.2%and 32.8%, respectively. Conclusions There was no HAV or HEV infection in a certain army of Fujian, however, army has the epidemic conditions of HAV and HEV infection outbreak, so, in addition to strengthening the military food hygiene management, hepatitis A and E vaccines should be inoculated in susceptible populations,particularly in soldiers from villages.