乙型和丙型肝炎病毒:肝硬化患者中的流行率和共同因素

Said Rahatullah Haidari
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摘要

肝硬化是多种慢性肝病的最终途径,是一种定义为弥漫性肝纤维化和再生结节形成的病理实体。本研究旨在调查肝硬化患者中乙型肝炎病毒和丙型肝炎病毒的流行情况和共同因素。从2018年至2022年,共登记了79名患者。2018年、2019年和2020年肝硬化的患病率分别为21.5%、21.5%和21.5%。2021年和2022年的发病率分别为21.7%、13.0%、19.1%、6.1%和8.7%。农村地区的肝硬化发病率明显高于城市地区(P = 0.01)。此外,根据年龄划分,年龄大于 52 岁者的肝硬化发病率明显高于 18-40 岁和 41-52 岁者(P = 0.001)。此外,女性肝硬化发病率高于男性,但差异不显著。除此以外,HBV、HCV 和非 B 型及非 C 型患者的肝硬化病因分别为 13%、40% 和 15.7%。结果显示,肝硬化病因与 HCV 发病率显著相关,体重不足、正常、超重和肥胖者的患病率分别为 13%、15.7%、26.1% 和 18.9%。根据体重指数分类,不同类别的患病率有显著差异。此外,HBV 和 HCV 患者以及非 B 型和非 C 型患者的糖尿病发病率分别为 21.7%、47% 和 31.3%,但糖尿病发病率与 HCV 发病率明显相关。此外,HBV、HCV、非乙型和非丙型患者的脑病发病率分别为 20.9%、47.8% 和 31.3%,腹水发病率分别为 24.3%、44.3% 和 31.4%。最后,吸烟患者的肝硬化发生率明显高于非吸烟者(P = 0.001)。
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Hepatitis B and C Viruses: Prevalence and co-factors among patients with liver cirrhosis
Liver cirrhosis is the final pathway of multiple chronic liver diseases and is a pathological entity defined as diffuse hepatic fibrosis and regenerative nodule formation. The objective of this study was to investigate the prevalence and co-factors of hepatitis B and C viruses among patients with liver cirrhosis. A total of 79 patients were registered from 2018 to 2022. The prevalence of liver cirrhosis in 2018, 2019, and 2020. 2021 and 2022 were 21.7%, 13.0%, 19.1%, 6.1% and 8.7%, respectively. The incidence of cirrhosis was significantly (P = 0.01) greater in rural areas than in urban areas. In addition, according to age, the incidence of cirrhosis was significantly (P = 0.001) greater in those >52 years old than in those 18-40 and 41-52 years old. Moreover, the incidence of cirrhosis was greater in females than in males, but the difference was not significant. Without that, the causes of cirrhosis for HBV, HCV and Non-B and Non-C patients were 13% and 40%, 15.7%, respectively. The results showed that causes of cirrhosis were significantly associated with HCV incidence, and the prevalence of underweight, normal, overweight, and obese individuals was 13%, 15.7%, 26.1% and 18.9%, respectively. Prevalence according to BMI categories did significantly differ among the categories. Furthermore, the incidences of diabetes mellitus for patients with HBV and HCV and for non-B and non-C individuals were 21.7%, 47% and 31.3%, respectively, but the incidence of diabetes mellitus was significantly associated with the incidence of HCV. In addition, the incidences of encephalopathy for HBV, HCV and non-B and non-C patients were 20.9%, 47.8%, and 31.3%, respectively, and for Ascites, they were 24.3%, 44.3%, and 31.4%, respectively. Finally, the incidence of cirrhosis was significantly (P = 0.001) greater in smoking patients than in nonsmokers.
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