本文選題：丙型肝炎 + 流行�。� 參考：《吉林大學》2010年碩士論文

【摘要】： 本次調(diào)查研究對吉林省扶余縣更新鄉(xiāng)愿意接受調(diào)查的10個村中采取統(tǒng)一的調(diào)查表,以面訪的形式對參加對象進行問卷調(diào)查。并于問卷當天進行血樣采集,檢查肝功能、丙肝抗體、乙肝表面抗原,丙肝抗體陽性者行HCVRNA的檢查。在我們下鄉(xiāng)進行調(diào)查之前,與當?shù)剜l(xiāng)政府、疾病控制中心取得聯(lián)系,并達成合作,由他們提前做好通知工作,做到挨家挨戶上門通知,說明我們本次調(diào)查的目的和意義,鼓勵更多的人參加本次調(diào)查。本次調(diào)查的內(nèi)容主要包括調(diào)查對象基本信息,家庭人口、吸煙史,飲酒史,既往肝炎病史、糖尿病病史、家庭成員肝病病史、輸血史、獻血史、安納咖注射史、周圍人安納咖注射史、修牙史、紋眉史、扎耳洞史、既往丙肝診治史等。我們發(fā)現(xiàn)有安納咖注射史的是HCV感染最強的相關因素(OR=11.71),其次是年齡、肝炎史、吸煙、文化程度、周圍人安納咖注射史也是HCV感染的獨立相關因素,而且我們發(fā)現(xiàn)調(diào)查地區(qū)的人群對丙肝的認知率低,就診率低,治療率低,而感染率卻很高,存在極大的隱患,應該引起我們?nèi)鐣年P注。結論：扶余縣更新鄉(xiāng)HCV粗感染率為49.40%,約是全國HCV感染的15.44倍,是我國丙型肝炎高發(fā)區(qū)。HCV感染與年齡、吸煙史、文化程度、肝炎史、是否有安納咖注射史、周圍人安納咖注射史有關。安納咖注射人群是扶余縣更新鄉(xiāng)農(nóng)村HCV感染的高危人群,是當?shù)豀CV感染的主要傳播途徑扶余縣更新鄉(xiāng)丙肝感染率高、檢測率低、知曉率低、治療率低、治療效果差。扶余縣更新鄉(xiāng)面臨丙型肝炎高感染率和低發(fā)現(xiàn)率、低治療率的重大挑戰(zhàn),應采取及時有效的策略控制發(fā)病、規(guī)范治療,減輕當?shù)亟?jīng)濟和社會負擔。
[Abstract]:In this investigation, 10 villages in Fuyu County, Jilin Province, were surveyed with a unified questionnaire, and the participants were surveyed in the form of an interview. Blood samples were collected on the same day of the questionnaire to examine the liver function, hepatitis C antibody, hepatitis B surface antigen and hepatitis C antibody positive for HCV RNA. Before we go to the countryside for investigation, contact and cooperate with the local township government and the Centers for Disease Control and Control, so that they can do a good job of notification in advance, so that we can go door-to-door notice. This explains the purpose and significance of our investigation. Encourage more people to participate in the survey. The contents of this survey mainly include basic information of the subjects, family population, smoking history, drinking history, past history of hepatitis, history of diabetes, history of liver disease among family members, history of blood transfusion, history of blood donation, history of Anakah injection. Anakah injection history, tooth repair history, eyebrow stripe history, ear hole history, previous history of diagnosis and treatment of hepatitis C, etc. We found that the most important factor associated with HCV infection was the history of Anakah injection, followed by age, history of hepatitis, smoking, education, and the history of injection of Anakana around us, which were also independent related factors of HCV infection. Moreover, we found that the people in the investigation area have low cognition rate, low visiting rate, low treatment rate, but the infection rate is very high, there are great hidden dangers, so we should pay attention to the whole society. Conclusion: the crude infection rate of HCV in Yuexin Township of Fuyu County is 49.400.It is 15.44 times higher than that in the whole country. It is the infection rate and age, smoking history, education level, history of hepatitis and whether or not there is the history of Ana injection in the high incidence area of hepatitis C in China. The history of the injection of Anakah around people. Anaqa injection population is a high risk group of HCV infection in rural areas of Fuyu County. It is the main way of transmission of HCV infection in Fuyu County. The infection rate of hepatitis C is high, the detection rate is low, the awareness rate is low, and the therapeutic effect is poor. Yuexin Township of Fuyu County is faced with the great challenge of high infection rate, low detection rate and low treatment rate of hepatitis C. We should take timely and effective strategies to control the disease, standardize the treatment and lighten the local economic and social burden.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2010
【分類號】：R512.63;R181.3

【參考文獻】

相關期刊論文 前6條

1 魏來,王齊欣,徐小元,萬華,高燕,田秀蘭,于敏,孫德貴,范春蕾,金劍,樊文梅,尹利民,朱萬孚,陳紅松,莊輝,王宇;河北省固安縣某農(nóng)村單采漿獻血員丙型肝炎病毒感染的追蹤研究[J];北京大學學報(醫(yī)學版);2002年05期

2 謝志堅;148例靜脈吸毒者艾滋病病毒、乙型肝炎病毒及丙型肝炎病毒感染的調(diào)查結果分析[J];廣西醫(yī)學;2004年12期

3 劉石柱,陳康林,朱國平,巫俊林,馮成玉,范建英,秦光明,孫喬,劉剛,鄭國英,何益新,周楓,阮玉華,邵一鳴;以社區(qū)為基礎的靜脈吸毒人群丙型肝炎病毒感染危險因素研究[J];疾病控制雜志;2004年01期

4 胡玉榮;哈斯額爾敦;十月;;丙型肝炎的流行現(xiàn)狀與預防[J];基層醫(yī)學論壇;2006年03期

5 姚光弼,王寶恩;重組α干擾素治療慢性乙型肝炎和慢性丙型肝炎的經(jīng)濟學分析[J];中華消化雜志;1999年06期

6 周楓,馬澤恩,胡薇,馮宗亮,陳康林,秦光明,孫喬,劉剛,梁姝,何益新,劉石柱,阮玉華,邵一鳴;靜脈吸毒共用注射器具方式和性行為與丙型肝炎病毒感染關系的研究[J];中華流行病學雜志;2004年04期

，

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