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目的了解合山市某乡成年人群肝胆患病情况,以利于肝胆疾病的积极防治。方法用酶联免疫试验检测2761名成人自愿参检者血清HBsAg、AFP;用赖氏法检测ALT;用B超检查肝、胆。结果HBsAg阳性者有283例(10.25%)、脂肪肝158例(5.72%)、ALT升高32例(1.16%)、AFP升高22例(0.80%)、肝血管瘤14例(0.51%)。男性HBsAg阳性及脂肪肝患病率均显著高于女性(P<0.001),而肝血管瘤患病率却显著低于女性(P<0.05)。结论该地区人群中肝胆疾病患者比例是相当大的,人群的健康普查是必要的。
Objective To understand the prevalence of hepatobiliary diseases among adults in a certain town in Heshan City in order to facilitate active prevention and treatment of hepatobiliary diseases. METHODS: Enzyme-linked immunosorbent assay was used to detect the serum levels of HBsAg and AFP in 2 761 adult volunteers. The ALT was detected by Lai test and the liver and gallbladder were examined by B-ultrasound. Results There were 283 (10.25%) HBsAg positive patients, 158 (5.72%) fatty liver, 32 (1.16%) elevated ALT, 22 (0.80%) elevated AFP, and 14 (0.51%) hepatic hemangioma. . The prevalence of HBsAg-positive and fatty liver in males was significantly higher than that in women (P<0.001), while the prevalence of hepatic hemangiomas was significantly lower than that in women (P<0.05). Conclusion The proportion of patients with hepatobiliary diseases in the population in this area is quite large, and a general population health survey is necessary.