摘要
目的了解海南省住院精神病人乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒(TP)及艾滋病病毒(HIV)感染情况,为该人群传染病的管理医治提供依据。方法对2013—2017年在海南省安宁医院首次入院的精神病患者采集血样,进行HIV、HBV、HCV和TP血清学检测。结果 2013—2017年共检测首次入院患者13 616人,HBsAg阳性2 634例,阳性率为19.35%;丙肝抗体阳性355例,阳性率为2.61%;梅毒抗体阳性251例,阳性率为1.84%;HIV抗体阳性3例,HIV阳性率为0.002%,在男性组与女性组比较中,HBsAg和HCV抗体阳性率差异均有统计学意义(P<0.05),其他各项差异均无统计学意义(P>0.05)。结论这4种传染病在精神病人群内均有发生,感染以HBV感染为主,其次是HCV和TP,HIV占很少数;对于精神病人入院时需做好相关传染病的筛查,做到早发现、早诊断、早治疗,避免传染病的传播。
Objective To understand the infection status of hepatitis B virus(HBV), hepatitis C virus(HCV), syphilis(TP) and AIDS virus(HIV) in hospitalized psychiatric patients in Hainan Province, and to provide a basis for the management and treatment of infectious diseases in this population. Methods Blood samples were collected from psychiatric patients who were first admitted to Anning hospital of Hainan Province from 2013 to 2017 and tested for HIV, HBV, HCV and TP serology.Results From 2013 to 2017, a total of 13 616 patients who were first admitted were tested, with 2 634 HBsAg positive cases and a positive rate of 19.35%.There were 355 cases with positive HCV antibody, and the positive rate was 2.61%.There were251 cases with positive syphilis antibody, and the positive rate was 1.84%.The positive rate of HIV antibody was 0.002% in 3 cases, and the difference of HBsAg and HCV antibody positive rate was statistically significant(P<0.05) in the comparison between the male group and the female group, while the other differences were not statistically significant(P>0.05).Conclusion All these four infectious diseases occurred in the psychiatric population, mainly HBV infection, followed by HCV and TP, HIV are rare.When mentally ill patients are admitted to hospital, they should be screened for relevant infectious diseases. Early detection, early diagnosis and early treatment are ensured to avoid the spread of infectious diseases.
作者
王天道
潘明
刘娜
WANG Tiandao;PAN Ming;LIU Na(Hainan Provincial Anning Hospital,Haikou,Hainan 570206,China)
出处
《中国热带医学》
CAS
2019年第3期250-253,共4页
China Tropical Medicine
