首页|日照市6221例女性HPV流行病学调查

日照市6221例女性HPV流行病学调查

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目的 分析山东省日照市妇幼保健院门诊就诊女性中人乳头瘤病毒(HPV)感染的流行特征,为日照市HPV的检测,预防和治疗策略提供理论依据.方法 收集2019年1月至2021年12月在日照市妇幼保健院就诊的6 221例女性宫颈生物脱落细胞为研究样本,采用PCR-反向点杂交法定性检测28种HPV基因型并统计分析.结果 在受检的6 221例女性中,HPV的检出率为38.74%(2 410/6221).受检人数年均增长率为34.69%,检出率年均增长率为16.49%.HPV检出率与受检月份之间的差异有统计学意义(x2=43.125,P<0.001),五月份检出率出现峰值为47.40%(282/595).在所有HPV感染者中,以单纯高危型感染为主占比 73.57%(1773/2410),其次是单纯低危型感染为 23.44%(565/2410).不同年龄组之间女性HPV检出率的比较,差异有统计学意义(x2=103.116,P<0.001).HPV感染率前三的年龄段是<21 岁、>60 岁和 21~25 岁.检出率前四的HPV亚型都是高危型,依次是HR-HPV16、HR-HPV52、HR-HPV58、HR-HPV53.HR-HPV总检出率为29.66%(1845/6221),构成比为75.81%(2285/3014).LR-HPV总检出率为 10.24%(637/6221),排名前四的亚型依次是LR-HPV54、LR-HPV61、LR-HPV81、LR-HPV42.HR-HPV的检出率在年龄之间的差异有统计学意义(x2=145.737,P<0.001),HR-HPV16在<21岁年龄组里的检出率为11.59%(8/69),在56~60岁年龄组里检出率为4.44%(8/180).结论 日照地区女性HPV检出率逐年增高,5月份是易感月份,<21岁和>60岁是易感年龄段,并以单一高危型HPV16和HPV52感染为主.
Epidemiological investigation of HPV among 6,221 female cases in Rizhao City
Objective To analyze the epidemiological characteristics of human papillomavirus(HPV)infection among women attending the outpatient clinic at Rizhao Maternal and Child Health Care Hospi-tal in Shandong Province,and provide a theoretical basis for the detection,prevention and treatment strategies for HPV in Rizhao City.Methods A total of 6,221 female cervical bioexfoliated cells from January 2019 to December 2021 at Rizhao Maternal and Child Health Hospital were collected as research samples.These sam-ples were used to detect 28 HPV genotypes,which were then statistically analyzed using PCR-reverse point hy-bridization.Results Among the 6,221 women tested,the detection rate of HPV was 38.74%(2,410/6,221).The average annual growth rate of the number of subjects was 34.69%,and the average annual growth rate of the detection rate was 16.49%.The difference between the HPV detection rate and the month detected was statisti-cally significant(x2=43.125,P<0.001),with the highest detection rate being 47.40%(282/595)in May.Of all HPV infections,73.57%(1,773/2,410)were simple high-risk infections,followed by 23.44%(565/2,410)of simple low-risk infections.The difference in HPV detection rate among women in different age groups was statisti-cally significant(x2=103.116,P<0.001).The top three age groups for HPV infection rates were<21 years old,>60 years old and 21~25 years old.The top four HPV subtypes in the detection rate were all high-risk types,with HR-HPV16,HR-HPV52,HR-HPV58,and HR-HPV53 leading the way.The total detection rate of HR-HPV was 29.66%(1845/6,221),with a the composition ratio of 75.81%(2,285/3,014).The total detection rate of LR-HPV was 10.24%(637/6,221),with the top four subtypes being LR-HPV54,LR-HPV61,LR-HPV81,and LR-HPV42.The detection rate of HR-HPV was statistically significant in the difference between ages(x2=145.737,P<0.001),with the detection rate of HR-HPV16 in the<21 years old age group at 11.59%(8/69)and 4.44%(8/180)in the 56-60 age group.Conclusion The detection rate of HPV in women in the Rizhao area is increasing year by year.May is the most susceptible month,with individuals under 21 years old and over 60 years old being the most susceptible age groups.Single high-risk HPV16 and HPV52 infections are the most common.

Cervical cancerHPVHigh-risk subtypesEpidemiological investigation

刘根贤、战倩、苗文静、陈兆艳、王朋、陈新骏

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日照市妇幼保健院保健科,山东,日照 276800

日照市妇幼保健院医学遗传中心,山东,日照 276800

日照市妇幼保健院检验科,山东,日照 276800

日照市疾病预防控制中心,山东,日照 276800

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子宫颈癌 人乳头瘤病毒 高危亚型 流行病学调查

山东省医药卫生科技发展计划

202002021163

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(4)
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