962例外来工的乙型肝炎表达模式分析

目的了解来东莞工作的外来工的乙肝感染状况，分析其乙型肝炎的表达模式，为乙肝防治提供参考。方法收集了到某院体检的962份外来工的血清，检测乙肝五项：表面抗原（HBsAg）、表面抗体（HBsAb）、e抗原（HBeAg）、e抗体（HBeAb）、核心抗体（HBcAb），并对结果进行分析。结果在检测的962人中，HBsAg阳性335人，阳性率34．82％。其中男性受检者527人，HBsAg阳性204人，阳性率38．71％；女性受检者435人，HBsAg阳性131人，阳性率30．11％。乙肝五项标志物全阴者217人，占总受检人数的22．56％。结论必须加强对来莞工作的外来工的乙肝监测，及时为乙肝五项全阴者注射乙肝疫苗，同时加强外来工的健康教育，提高他们的卫生知识水平。

Analysis of Hepatitis B Infection in 962 Non-Local Workers

Objective To elucidate the status of hepatitis B virus infection in the non-local workers in Dongguan by analyzing the expression of hepatitis B antigens and antibodies for HBV, and to provide the basis on prevention and treatment of hepatitis B. Methods Serums of 962 non-local workers were collected and tested for the five HBV markers, namely HBsAg, HBsAb, HBeAg, HBeAb and HBcAb. Results 335 workers were found HBsAg positive. HBsAg positive rate was 34.82% （335/962）, in which the positive rate of HBsAg in the male and female workers were 38.71% （204/527） and 30.11% （131/435）, respectively. 217 workers （33.5%） were all negative for the five HBV markers. Conclusion The monitoring program of HBV infection in non-local workers should be strengthen. Immunization should be given to both HBV antigens and antibodies negative individuals. Health education should also be provided to the non-local workers.