中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
19期
2-3
,共2页
丙型肝炎%流行病学%临床特征
丙型肝炎%流行病學%臨床特徵
병형간염%류행병학%림상특정
Hepatitis c%Epidemiology%Clinical characteristics
目的：分析我院收治的412例丙型肝炎患者的流行病学及临床特征。方法回顾性分析我院2009年11月～2014年9月丙型肝炎患者的流行病学特征及临床特征。结果412例患者中有输血史的占16.50%，有手术史的占23.30%，未发现任何丙型肝炎相关病史的占49.51%； HEV、HIV等合并感染比例占23.06%；其中39.81%患者表现为临床乏力，24.5%的患者表现为纳差，26.2%患者患有腹胀，23.9%患者有黄疸表现；B超、CT或MRI影像学检查异常患者占59.4%；低病毒载量组血清中AST、ALT水平低于其它HCV RNA载量组（P <0.05）；AST/ALT比值与其他病毒含量组比值相比较，无统计学意义（P >0.05）。结论对丙型肝炎高危人群进行筛查时，需要对阳性患者进行HEV、HIV等检测，防止漏诊，及早进行干预治疗，减少疾病传染。
目的：分析我院收治的412例丙型肝炎患者的流行病學及臨床特徵。方法迴顧性分析我院2009年11月～2014年9月丙型肝炎患者的流行病學特徵及臨床特徵。結果412例患者中有輸血史的佔16.50%，有手術史的佔23.30%，未髮現任何丙型肝炎相關病史的佔49.51%； HEV、HIV等閤併感染比例佔23.06%；其中39.81%患者錶現為臨床乏力，24.5%的患者錶現為納差，26.2%患者患有腹脹，23.9%患者有黃疸錶現；B超、CT或MRI影像學檢查異常患者佔59.4%；低病毒載量組血清中AST、ALT水平低于其它HCV RNA載量組（P <0.05）；AST/ALT比值與其他病毒含量組比值相比較，無統計學意義（P >0.05）。結論對丙型肝炎高危人群進行篩查時，需要對暘性患者進行HEV、HIV等檢測，防止漏診，及早進行榦預治療，減少疾病傳染。
목적：분석아원수치적412례병형간염환자적류행병학급림상특정。방법회고성분석아원2009년11월～2014년9월병형간염환자적류행병학특정급림상특정。결과412례환자중유수혈사적점16.50%，유수술사적점23.30%，미발현임하병형간염상관병사적점49.51%； HEV、HIV등합병감염비례점23.06%；기중39.81%환자표현위림상핍력，24.5%적환자표현위납차，26.2%환자환유복창，23.9%환자유황달표현；B초、CT혹MRI영상학검사이상환자점59.4%；저병독재량조혈청중AST、ALT수평저우기타HCV RNA재량조（P <0.05）；AST/ALT비치여기타병독함량조비치상비교，무통계학의의（P >0.05）。결론대병형간염고위인군진행사사시，수요대양성환자진행HEV、HIV등검측，방지루진，급조진행간예치료，감소질병전염。
Objective To analyze epidemiology and clinical characteristics of 412 cases of patients with hepatitis c in our hospital .Methods Retrospective analysis of the epidemiological characteristics and clinical features of patients with hepatitis C from November 2009 to September 2014.ResultsIn these patients , 16.50% of them had a history of blood transfusion. 23.30% of them had a history of surgery, while 49.51% of them found no medical history related to hepatitis C. 23.06% of the patients had a co-infection with HEV、HIV and so on .39.81% of the patients suffered clinical manifestations of fatigue.24.5% characterized show a poor appetite. 26.2% presented a abdominal distention, and 23.9% suffered from abdominal distension. Ultrasound, CT or MRI imaging examination in patients were abnormal (59.4%). Low viral load group serum AST, ALT level was significantly lower than other HCV RNA loads group (P < 0.05). AST/ALT ratio compared with other virus content ratio, no statistical significance (P > 0.05).Conclusion On hepatitis C screening, it is need to test HEV, HIV, syphilis and other testing.Which can prevent misdiagnosis, and early intervention and treatment can reduce the disease transmission.
