中文摘要：

目的了解肺结核病患者甲、乙、丙3型病毒性肝炎的分布特征，为在肺结核病人中开展甲、乙、丙3型病毒性肝炎知识宣传教育和干预工作提供参考依据。方法收集新疆部分地区肺结核患者的一般资料，采集血清，用酶联免疫吸附（EuSA）法检测甲肝抗体IgM（抗HAV-IgM）、丙肝抗体IgG（抗HCV—IgG）以及乙肝（HBV）抗原抗体系统3项血清学指标即乙肝标志物（HBV-M）：乙肝表面抗原（HBsAg）、表面抗体（抗-HBs）和核心抗体（抗-HBc），并对其进行分析。结果采集肺结核病患者有效血清标本共1355份，各指标阳性率分别为抗-HAV5．46％、抗-HCV3．47％、HBsAg6．64％、HBV感染率55．06％。北疆各指标抗HAV—IgM（5．99％）、抗HCV-IgG（5．58％）、HBsAg（10．74％）、HBV感染（63．02％）的阳性率均高于南疆[抗HAVIgM（5．17％）、抗HCV-IgG（2．30％）、HBsAg（4．36％）、HBV感染（50．63％）]，除抗HAV-IgM外，差异均有统计学意义。男性各指标抗HAV—IgM（6．87％）、抗HCV-IgG（4．71％）、HBsAg（7．25％）、HBV感染（56．36％）阳性率均高于女性（抗HAV-IgM（3．51％）、抗HCV—IgG（1．76％）、HBsAg（5．80％）、HBV感染（53．25％）），除HBsAg和HBV感染外，抗HAV-IgM和抗HCV-IgG阳性率差异有统计学意义。≥65岁组与〈65岁组相比，抗HAV-IgM阳性率差异有统计学意义（Y。一6．64，P〈O．05）；HBsAg和HBV的阳性率均以65～75岁组最高（8．43、64．04％）；抗HCV-IgG阳性率以25～35岁组最高（6．69％），各年龄组差异有统计学意义（x2=12．524，P=0．028）。除抗HCV-IgG外，不同民族问抗HAV-IgM、HBsAg和HBV的阳性率差异有统计学意义（P〈0．05）；抗HAV—IgM阳性率其他民族最高（13．92％）；HgsAg和HgV的阳性率汉族最高（12．5％、77．98％）；抗HCV-IgG阳性率哈萨克族最高（6．90％）。结论肺结核病人甲、丙型?

英文摘要：

Objective To know about the distribution characteristics of three types of viral hepatitis A, B and C among tuberculosis （TB） patients in parts of xinjiang province. Methods A study was conducted on TB patients in parts of Xinjiang province. Demographic information and blood samples were collected. Ser- um were tested for hepatitis A antibody-IgM （anti-HAV-IgM） and hepatitis C antibody-IgG （anti-HCV- IgG） using ELISA, besides serologic markers of hepatitis B. surface antigen （HBsAg）, surface antibody （anti-HBs） and core antibody （anti-HBc） were detected, then analyze these datum. Results Laboratory data were available for 1 355 participants in TB patients. The positive rate of anti-HAV, anti-HCV, HB- sAg and infection of HBV were 5. 46%, 3.47%, 6.64% and 55.06 respectively. The positive rates of all indicators in north of Xinjiang were higher than the south （anti-HAV.. 5. 99% vs 5. 17%, anti-HCV： 5.58% vs 2.30%, HBsAg. 10.74% vs 4.36%, infection of HBV. 63.02% vs 50.63%）. Differences were statistically except anti-HAV. High positive rate of all indicators were noticed in males than females （anti HAV. 6.87% vs 3.51%, anti-HCV. 4.71% vs 1.76%, HBsAg： 7.25% vs 5.80%, infection of HBV. 56.36% vs 53.25%）. Anti-HAV and anti-HCV positive rate were significant different except HBsAg and infection of HBV. Anti-HAV positive rate was different in ~65 age group and ~65 age group （;t2 =6.64, P d0.05）. The HBsAg positive rate and infection of HBV were the highest in 65~75 age group （8.43, 64.04%）. The anti-HCV was different in each age group （X2 =12. 524, P =0. 028） and the highest in 25 -35 age group. There was a meaningful difference of all positive rate except anti-HCV among every ethnic group. The highest positive rate of each indicators was the others in anti-HAV （13.92%）, Han in HBsAg （12.5%） and HBV （77.98%）, Kazak in anti-HCV （6.90%） res the positive rates of viral hepatitis A and C among TB patients are pectively. Conclusion The results show higher than t