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目的 调查部队人群急性散发性戊型肝炎 (戊肝 )发病率和分布 .方法 1 993- 0 1 / 1 2对驻东北、华东、西南、华南野战部队 ,以整群抽样的方式前瞻性地观察了 1 6 0 36 0人 ,对散发性戊肝发病情况进行了调查 ,收集血清 ,检测了抗 -HEV Ig M与抗 - HEV Ig G.结果 共发生散发性急性病毒性肝炎 31 0例 ,血清学分型表明 38例为戊肝 ,戊肝年发病率为2 3.7/ 1 0万 ,戊肝占部队急性病毒性肝炎的 1 2 .2 6 % .4个观察部队以济南某部最高 (2 8.6 / 1 0万 ) ,广州某部最低 (1 4 .6 / 1 0万 ) .散发性戊肝发病有 3～ 4与 8～ 1 1月份两个高峰 ,在部队干部与战士、老兵与新兵之间戊肝发病率没有显著性差别 .结论 部队人群普遍存在散发性戊肝 ,应重视其预防 .
Objective To investigate the incidence and distribution of acute sporadic hepatitis E (hepatitis E) in army units.METHODS 1 993-0 1/1 2 A prospective observational study of field units stationed in the northeast, east, southwest and south China by cluster sampling A total of 1 36 0 36 0 persons were investigated for the incidence of sporadic encephalopathy. Serum was collected and anti-HEV Ig M and anti-HEV Ig G were detected. Results A total of 310 cases of sporadic acute viral hepatitis were observed. Serum The lexicographic classification showed that 38 cases were hepatitis E, the incidence of hepatitis E was 23.71 million, and that of hepatitis E accounted for 12.26% of the acute viral hepatitis in the armed forces. The four observation units were the highest in Jinan (2 8.6 / 100000), a department of Guangzhou lowest (14.6 / 10 million.) Sporadic hepatitis E incidence of 3 to 4 and 8 to January two peaks in January, the army cadres and soldiers, veterans and recruits There was no significant difference between the incidence of hepatitis E. Conclusions The prevalence of sporadic hepatitis E in the military force should pay attention to its prevention.