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310例医用X线工作人员乙型肝炎的流行病学调查分析

Epidemiological survey of hepatitis B makers in 310 medical X-ray workers.

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【作者】 张春明王宝城李子勤

【Author】 ZHANG Chun-ming,WANG Bao-cheng,LI Zi-qin.(Huizhou Municipal Center for Disease Control and Prevention,Huizhou 516008,Guangdong,P.R.China)

【机构】 惠州市疾病预防控制中心惠州市疾病预防控制中心 广东惠州516008广东惠州516008广东惠州516008

【摘要】 目的 了解医用X线工作人员乙型肝炎病毒感染及转归情况 ,为保障放射工作人员的健康提供依据。 方法 通过职业流行病学现况调查方法 ,对 3 10例医用X线工作人员检测乙肝五项血清标志指标 ,并对其感染状况及转归进行分析。 结果  3 10例医用X线工作人员中检出乙肝五项阳性 113例 ,阳性率 3 6 45 % ,其中HBsAg阳性检出5 8例 ,阳性率 18 71% ,与一般人群HBsAg阳性率 11 66%比较 ,两者差别有显著性 (P <0 0 1) ;抗 -HBs、抗 -HBe、抗 -HBc阳性检出 5 5例 ,阳性率为 17 74% ,按工龄 5年以下、5年以上、10年以上和 15年以上分组 ,各组阳性率分别为3 8 16%、3 8 64 %、40 0 0 %、3 0 2 3 %。各组比较差别无显著性 (P >0 0 5 )。 结论 医用X线工作人员HBV血清标志物阳性率明显高于一般人群 ,而感染HBV后存在较高的慢性化趋势 ,应考虑医用X线工作人员的职业暴露和长期受职业照射因素的影响

【Abstract】 Objective To understand the infectious status of hepatitis B virus in X-ray workers and results of treatment and provide basis for protecting the health of the workers. Methods Occupational epidemiological survey was carried out and the five hepatitis B markers in 310 medical x-ray workers were detected, and the results of treatment were compared. Results The five Hepatitis B Markers were detected in the 310 medical X-ray workers with a positive rate of 36.45% and HBsAg was detected in 58 workers with a positive rate of 18.71%, showing a significant difference as compared with that of general population (P<0.01). Anti-HBs,Anti-HBe and anti-HBc were also detected in 58 workers with a positive rate of 17.74%. Conclusion The HBV makers in the medical X-ray workers are significant higher than that of the general population and prone to chronic stage, thus effective measures be adopted for protection the health of the medical X-ray workers.

  • 【文献出处】 中国热带医学 ,China Tropical Medicine , 编辑部邮箱 ,2004年03期
  • 【分类号】R512.62
  • 【被引频次】1
  • 【下载频次】13
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