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頁籤選單縮合
題 名 | Risk Factor Analysis of Patients with Chronic Hepatitis C in Taiwan=臺灣慢性C型肝炎的危險因子分析 |
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作 者 | 李重賓; 黃信彰; 盧俊良; 陳祖裕; 吳肇卿; 李發耀; 李壽東; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:4 1996.10[民85.10] |
頁 次 | 頁275-280 |
分類號 | 415.5332 |
關鍵詞 | 輸血; 慢性C型肝炎; 教育程度; 針頭注射; 危險因子; Blood transfusion; Chronic hepatitis C; Education; Needle injections; Risk factors; |
語 文 | 英文(English) |
中文摘要 | 背景 C型肝炎病毒主要是非經胃腸的傳染。可是在西方國家,除了 輸血感染外,尚有百分之四十的慢性C型肝炎患者沒有明顯的危險因子。本研 究探討台灣地區慢性C型肝炎感染的可能危險因子。 方法 計有161位慢性C型肝炎患者及161位年齡與性別相符的健康者參加本 研究。每位患者皆接受問卷調查及會談,以獲得輸血、接受非可棄式針頭注射、 教育程度、手術史、牙科治療史、刺青、穿耳洞、性生活、及酒精成癮等危險 因子的資料。 結果 慢性C型肝炎患者與健康組比較,有較高比例接受輸血、經常接受非可 棄式針頭注射的過去史、和較低的教育程度(比例分別為43.5%:10.6%,19.9%:6.2% 及42.2%:23.0%,p < 0.05)。單變項邏輯回歸分析顯示輸血、經常接受非可棄式 針頭注射的過去史、和低教育程為C型肝炎病毒感染的顯著危險因子(所有p均 < 0.05)。多變項分析也顯示輸血、經常接受非可棄式針頭注射的過去史、及低教 育程度為慢性C型肝炎患者C型肝炎病毒感染的顯著獨立危險因子。 結論 本研究顯示輸血及經常使用非可棄式針頭的非經胃腸傳染是台灣地區得 到C型肝炎病毒感染的主要途徑。低教育程度的人也較易感染C型肝炎病毒。 仔細篩選輸血用的血液、使用可棄式針頭、及提高教育程度,對減少台灣慢性 C型肝炎病毒感染是很重要的。 |
英文摘要 | Background. Parenteral transmission is the major route for hepatitis C virus (HCV) infection. However, in western countries, 40% of patients with chronic hepatitis C have no apparent risk factor of HCV infection. This study was designed to investigate the possible risk factors of HCV transmission in chronic hepatitis C patients in Taiwan. Methods. One hundred and sixty-one consecutive patients with chronic hepatitis C and 161 age- and sex-matched healthy subjects were enrolled. Risk factors, including blood transfusion, injection with nondisposable needles, education status, surgery, dental procedure, tattooing, ear-piercing, sexual behavior and alcoholism, were obtained in every patient through questionnairing and interviewing. Results. Patients with chronic hepatitis C, compared with healthy controls, had significantly higher rates of previous history of blood transfusion, frequent nondisposable needle injections, and lower education status (43.5% vs. 10.6%, 19.9% vs. 6.2%, 42.2% vs. 23.0%, respectively, all p < 0.05). Univariate logistic regression analysis showed blood transfusion, frequent nondisposable needle injections and low education as significant risk factors of HCV infection (all p < 0.05). Multivariate analysis again revealed them all to be independent significant risk factors associated with HCV infection in chronic hepatitis C patients. Conclusions. Parenteral transmission of HCV via transfusion and frequent nondisposable needle injections were the main routes of contracting HCV infection in patients with chronic hepatitis C in Taiwan. Also, people with low education ran the higher risk of transmission by HCV. Meticulous screening of the transfused blood for HCV, usage of disposable needles, and mass public education are important in our efforts to decrease chronic HCV infection in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。