部队急性病毒性肝炎发病前瞻性研究

目的　查明部队人群急性病毒性肝炎真实年发病率 .方法　前瞻性研究 ,观察抽样部队 1a内病毒性肝炎发生情况 .结果　共观察 16 0 36 0人 ,发生病毒性肝炎 310人 ,年发病率为 193.3/ 10万 ,甲肝年发病率 10 0 .4/ 10万 ,乙肝年发病率为 5 7.4/ 10万 .干部病毒性肝炎年发病率 (30 9.6 / 10万 )远高于战士 (173.6 / 10万 ,P<0 .0 1) ,干部乙肝年发病率(12 4.7/ 10万 )也高于战士 (4 6 .0 / 10万 ,P<0 .0 1) ,新兵甲肝年发病率 (130 .6 / 10万 )高于老兵 (81.0 / 10万 ,P<0 .0 1) .结论　部队人群病毒性肝炎年发病率仍很高 .在部队中 ,乙肝预防的重点是干部 ,甲肝预防的重点是新兵 .我们建议应加强部队病毒性肝炎预防策略的研究 ,降低其发病率

A prospective study on acute viral hepatitis among military personnel

AIM To establish the actual annual incidence of viral hepatitis in military population. METHODS Occurrence of acute viral hepatitis in sampled army during one year was observed prospectively. RESULTS Among 160 360 subjects, 310 developed hepatitis, with an annual incidence of 193.3/100 000. The annual incidence of hepatitis A was 100.4 /100 000. That of hepatitis B was 57.4/100 000. The annual incidence of hepatitis in commanders (309.6/100 000) was greatly higher than that in soldiers (173.6/100 000, P <0.01 ). The annual incidence of hepatitis B in commanders ( 124.7 /100 000) was also higher than that in soldiers (46.0/100 000, P <0.01). The annual incidence of hepatitis A in recruits (130.6/100 000) was higher than that in veterans ( 81.0 /100 000, P <0.01). CONCLUSION Incidence of hepatitis is still high in the army, in which commanders are the key population for HB prevention, and recruits for HA prevention. To reduce the incidence of hepatitis in the army, preventive strategies against hepatitis need further investigation.