首页|珠海地区13033名女性人乳头瘤病毒感染状况分析

珠海地区13033名女性人乳头瘤病毒感染状况分析

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目的:了解珠海地区女性人乳头瘤病毒(HPV)感染状况,为HPV疫苗的普及和宫颈癌的防控提供实验室数据.方法:采用HPV-杂交捕获法对2019-2022年来珠海市斗门区妇幼保健院就诊的13 033名女性进行HPV分型检测,并分析其结果.结果:共有1 718例阳性,检出率为13.18%,其中高危型检出前5位依次为HPV52、HPV58、HPV16、HPV51、HPV68.HPV感染年龄段分布呈"U"型,相邻年龄段比较,31~40岁段检出率明显低于≤30岁,51~60岁明显高于41~50岁,差异有统计学意义(P<0.05).高危型感染占比与年龄段无相关性.HPV感染以单一型为主,双重与多重感染普遍存在.双重感染各年龄段,差异无统计学意义(P>0.05),但51~60岁和<30岁年龄段多重感染最高,与其他组比较差异有统计学意义(P<0.05),对各年度HPV感染情况进行分析,各年度HPV检出率、高危型占比、感染类型无显著性差异,多重感染呈下降趋势.结论:珠海地区女性HPV检出率比较稳定,感染以单一型为主,<30岁和>50岁检出率和多重感染率较高,需重视疫苗的普及与高年龄段女性的宣传教育、筛查工作.
Analysis of Human Papillomavirus Infection in 13 033 Female in Zhuhai
Objective:To understand the situation of female HPV infection in Zhuhai,and provide laboratory data for the promotion of the HPV vaccine as well as for the protection and management of cervical cancer.Methods:HPV typing test was performed using the HPV-hybrid capture method to analyze the results of 13 033 female in the hospital from 2019 to 2022.Results:There were 1 718 positive cases,with a detection rate of 13.18%,of which the top 5 high-risk types detected were HPV52,HPV58,HPV16,HPV51 and HPV68 in order.The age distribution of HPV infection was"U"shaped,comparing adjacent age groups,the detection rate of HPV infection was significantly lower in the age group of 31~40 years than in the age group of≤30 years,and significantly higher in the age group of 51~60 year-old than in the age group of 41~50 year-old,with statistically significant differences(P<0.05).HPV infection was predominantly monotypic,with dual and multiple infections prevalent.There was no significant difference(P>0.05)between the age groups of dual infection,but the highest multiple infection was found in the age groups of 51~60 year-old and<30 year-old.There was statistically significant difference(P<0.05),compared with other groups.Analysis of HPV infection by year showed that there was no significant difference in HPV detection rate,proportion of high-risk types,and type of infection by year,and the trend of multiple infection was decreasing.Conclusion:The rate of HPV infection in female in Zhuhai is relatively stable,and the infection is mainly monotypic.The detection rate and multiple infection rate are higher in<30 and>50 year-old.So it is necessary to pay attention to the popularization of the vaccine and the publicity,education and screening of female in the higher age group.

HPVGenotypingVaccines

伍昆山、黄剑平、陈洪旺

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珠海市斗门区妇幼保健院,广东 珠海 519000

人乳头瘤病毒 基因分型 疫苗

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(15)