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医院丙肝微消除模式的建立与应用成效

Establishment and application effect of micro-elimination model of hepatitis c in hospital

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目的 建立医院丙肝微消除模式并分析其在丙肝防治工作中的应用成效.方法 以广西贵港市某三甲医院为例,通过部门分工、协调合作、能力建设多方面构建丙肝微消除模式,分析项目实施前(2021年)、项目实施后(2022年)两组抗-HCV筛查率、HCVRNA检测率、DAA治疗率、丙肝治愈人数的变化.结果 2022年与2021年相比,抗-HCV筛查率由78.8%上升到81.2%,HCV RNA检测率由75.1%上升到97.8%,DAA治疗率由19.4%上升到57.3%,差异均具有统计学意义(P<0.05);丙肝治愈人数由61人上升到231人,成效明显.结论 在医院建立丙肝微消除模式可显著提高抗-HCV筛查率、HCV RNA检测率、DAA治疗率,促进更多丙肝患者的治愈,有助于加快中国丙肝消除战略的进程,值得推广应用.
Objective To establish a micro-elimination model of hepatitis C in hospital and analyze its application effect in hepatitis C prevention and control.Methods A tertiary hospital in Guigang,Guangxi was taken as an example to construct a micro-elimination model of hepatitis C through division of labor,coordination and cooperation,and capacity building.The chan-ges of anti-HCV screening rates,HCV RNA testing rates,DAA treatment rates,and the number of patients cured before(2021)and after(2022)the implementation of the project were analyzed.Results Compared with 2021,anti-HCV screening rate in-creased from 78.8%to 81.2%,HCV RNA testing rate increased from 75.1%to 97.8%,DAA treatment rate increased from 19.4%to 57.3%,and the number of people cured increased from 61 to 231 in 2022.The differences were all statistically signif-icant(P<0.05).Conclusion The establishment of hepatitis C micro-elimination model in hospitals can significantly improve the anti-HCV screening rate,HCV RNA detection rate,DAA treatment rate,promote the cure of more hepatitis C patients,and help to accelerate the process of hepatitis C elimination strategy in China,which is worthy of popularization and application.

HospitalHepatitis CMicro-eliminationEffectiveness of application

陆彦盟、李仕雄、向文耀、蒙梦兰、黄少美、吕日英

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贵港市人民医院 广西贵港 537100

医院 丙肝 微消除 应用成效

贵港市科学研究与技术开发计划

贵科计2117016

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(4)
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