肝脏 ›› 2021, Vol. 26 ›› Issue (1): 16-18.

• 病毒性肝炎 • 上一篇    下一篇

2015年至2020年西藏岗巴县藏族农牧民HBsAg阳性率的变化

米玛拉姆, 朱丹, 白桑, 达珍, 次仁德吉, 次旺曲宗, 扎西伟色, 马世武   

  1. 857700 西藏自治区日喀则市岗巴县卫生服务中心(米玛拉姆,白桑,达珍,次仁德吉,次旺曲宗,扎西伟色);联勤保障部队第九二〇医院感染科(朱丹,马世武)
  • 收稿日期:2020-07-31 出版日期:2021-01-31 发布日期:2021-02-26
  • 通讯作者: 马世武,Email:mashiwu@hotmail.com
  • 基金资助:
    云南省中青年学术和技术带头人项目(第十八批)

The change of HBsAg positive rate among tibetan farmers in gamba county, Tibet within 2015 and 2020

MIMA Lamu, ZHU Dan, BAI Sang, DA Zhen, CIREN Deji, CIWANG Quzong, ZHAXI Weise, MA Shi-wu   

  1. Gamba County Hospital of Rikaze City, Tibet 857700,China
  • Received:2020-07-31 Online:2021-01-31 Published:2021-02-26
  • Contact: MA Shi-wu, Email: mashiwu@hotmail.com

摘要: 目的 评估岗巴县近5年HBsAg阳性率的变化。方法 分析2020年和2015年两段时间藏族农牧民体检人群和县医院就诊患者的HBsAg阳性率。结果 2020年全部体检人群的HBsAg阳性率低于2015年(15.7%比20.0%, P=0.007),年龄<20岁人群组的HBsAg阳性率也低于2015年的HBsAg阳性率(1.6%比14.3%, P<0.01),且年龄5~14岁儿童HBsAg阳性率为1.1%,1~4岁儿童的HBsAg均为阴性。2020年县医院门诊和住院就诊的农牧民HBsAg阳性率均低于2015年(15.0%比24.7%, 14.9%比26.4%,均P=0.001)。结论 经过针对性防治,岗巴县藏族农牧民总体和儿童群体的HBsAg阳性率显著降低。

关键词: 乙型肝炎病毒, 乙型肝炎表面抗原, 藏族, 农牧民

Abstract: Objective To evaluate the change of HBsAg positive rate in Gamba County in 5 years after the implementation of Health Poverty Alleviation project for hepatitis B.Methods The positive rates of HBsAg were analyzed among the Tibetan farmers that were outpatients received physical examination and were inpatients in Gamba within 2015 and 2020.Results The positive rate of HBsAg among people who underwent physical examination in 2020 was significantly lower than that in 2015 (15.7% vs 20.0%, P=0.007), so was in the population aged less than 20 (1.6% vs 14.3%, P<0.001). The positive rate of HBsAg was 1.1% in children aged 5-14, while children aged 1-4 all showed negative for HBsAg. In addition, the HBsAg positive rates of Tibetan farmers in both outpatient and inpatient in 2020 were significantly lower than those in 2015 (15.0% vs 24.7%, P=0.001; 14.9% vs 26.4%,P=0.001).Conclusion After targeted prevention and treatment of hepatitis B infection under Health Poverty Alleviation project, the HBsAg positive rates of total Tibetan farmers and children population in Gamba County have been significantly decreasing in five years.

Key words: Hepatitis B virus, Hepatitis B surface antigen, HBsAg, Tibetan farmer