CAJ | 학술논문

目的：分析乙肝疫情报告及影响因素，为乙肝预防控制及其效果评价提供依据。方法对潜江市2004年—2013年乙肝报告疫情及影响因素进行分析。结果潜江市2004年—2009年乙肝报告疫情呈逐年上升趋势，与该市全面加强安全注射与医院消毒管理，将乙肝疫苗纳入计划免疫，开展母婴阻断，100%无偿献血管理等现状不符。慢性乙肝就诊1次报1次疫情，临床医生宁肯重复报告，将各类体检中查出的乙肝病毒携带者查出1次报1次也不愿承担瞒报风险，导致乙肝报告疫情高于乙肝实际发病。2009年—2013年乙肝报告疫情呈逐年下降趋势，且2012年报告发病较2009年高峰期下降70%，较2011年下降60%，与乙肝疫情控制自然法则不符。严格执行乙肝疫情报告必须有肝功能受损客观依据，对乙肝疫情报告进行核实排重管理后，乙肝报告疫情明显下降。结论严格乙肝诊断报告标准，在二级以下医疗机构分乡镇（社区）、二级以上医院配备具有公共卫生执业医师资格的专职疫情报告管理人员，定期开展专业培训，落实乙肝疫情报告责任管理，是确保疫情报告真实准确的关键。
목적：분석을간역정보고급영향인소，위을간예방공제급기효과평개제공의거。방법대잠강시2004년—2013년을간보고역정급영향인소진행분석。결과잠강시2004년—2009년을간보고역정정축년상승추세，여해시전면가강안전주사여의원소독관리，장을간역묘납입계화면역，개전모영조단，100%무상헌혈관리등현상불부。만성을간취진1차보1차역정，림상의생저긍중복보고，장각류체검중사출적을간병독휴대자사출1차보1차야불원승담만보풍험，도치을간보고역정고우을간실제발병。2009년—2013년을간보고역정정축년하강추세，차2012년보고발병교2009년고봉기하강70%，교2011년하강60%，여을간역정공제자연법칙불부。엄격집행을간역정보고필수유간공능수손객관의거，대을간역정보고진행핵실배중관리후，을간보고역정명현하강。결론엄격을간진단보고표준，재이급이하의료궤구분향진（사구）、이급이상의원배비구유공공위생집업의사자격적전직역정보고관리인원，정기개전전업배훈，락실을간역정보고책임관리，시학보역정보고진실준학적관건。
ObjectiveAnalysis on hepatitis b epidemic situation and its influential factors in 2004-2013 in Qianjiang Hubei province,and provide evidences for effective ways of preventing hepatitis b and outcome assessment. MethodsAnalysing on hepatitis b epidemic situation and its influential factors report in 2004-2013 in Qianjiang Hubei province.ResultsHepatitis b epidemic situation presents an increasing trend each year,which goes against with policies of the increased security in injection and disinfection management of hospital,the plan in hepatitis b vaccine injection,the separation of mother and baby and the management in volunteer blood donation. Chronic hepatitis b is reported once diagnosis,Clinician would rather repeat his report than to bear the risk of not reporting it,which result in the report of hepatitis b epidemic situation higher than the actual morbidity. The trend in hepatitis b epidemic situation has decreased during 2009-2013,and comparing to the apogee in 2009,the morbidity in 2012 has decreased by 70% and also decreased by 60% of 2011,which goes against the natural rule. Strict implementation of hepatitis B epidemic situation reports requires objective evidence of impaired liver function. For hepatitis B epidemic situation report to verify the row weight management,report in hepatitis b epidemic situation has decreased significantly.ConclusionThe keys that ensure the report in hepatitis b epidemic diseases is true and correct are as follows:having strict standard in reporting chronic hepatitis b,providing relevant management expertise with Public Health Occupation Physician Qualification in the two of the following medical institutions branch township as well as in hospital above grad two,and taking regular training in their profession,implementing the responsible management in reporting chronic hepatitis b.