某市5751名孕前健康检查的男女乙型肝炎表面抗原检验结果的分析

目的调查仪征市孕前健康检查的男女乙型肝炎表面抗原(HBsAg)携带情况,分析性别间乙型肝炎携带率的差异,为妇幼保健工作提供理论上的参考。方法于2011年8月至2012年7月对仪征市11个乡镇5751名孕前健康检查的男女进行HBsAg携带情况调查,采用ELISA法进行HBsAg检测,并对检测结果进行统计学分析。结果在受检的5751名检测对象中(男2665例,女3086例)共检出阳性结果 333例,总检出率为5.79%,男性阳性率为7.20%,女性阳性率为4.57%,男女阳性率存在显著性差异(χ2=18.21,P<0.01)。结论仪征市孕前健康检查的男性HBsAg阳性率明显高于女性HBsAg阳性率,因此男性更应该重视对肝脏的保护,相关部门应多开展预防乙型肝炎的健康教育,加强孕前男女的HBsAg的筛查,以进一步控制和减少孕前男女的HBsAg的携带率。

Analysis of Surveillance Results of HBsAg on 5751 Cases among Pre-pregnant Persons in a City

Objective To investigate the HBsAg carrier situation among pre-pregnant persons in Yizheng city, analyze the difference in male and female group, in order to provide theoretical reference for maternal and child health care work. Methods 5751 pre-pregnant persons in 11 townships were investigated about the HBsAg carrier situation, HBsAg was detected by ELISA in these samples, and then analyzed the results. Results The positive results of 333 case were detected in 5751 subjects, the average HBsAg cartier rate was 5.79%, 7.20% in male and 4.79% in female. There was significant difference between men and women （~= 18.21, P〈0.01 ）. Conclusion The positive rate of men was significantly higher than that of female, so the relevant departments should carry out health education to prevent hepatitis B. It is necessary to strengthen HBsAg screening among them in order to control and reduce the incidence of HBV.