8 744例安徽地区女性人乳头瘤病毒亚型感染状况分析

叶红; 常中宝; 童琳; 余娟平; 张爽; 王倩倩; 李晓华; 徐庆华

doi:10.16462/j.cnki.zhjbkz.2019.10.022

8 744例安徽地区女性人乳头瘤病毒亚型感染状况分析

doi: 10.16462/j.cnki.zhjbkz.2019.10.022

1.
230061 合肥, 安徽省医学科学研究院
2.
230088 合肥, 合肥金域检验实验室有限公司

基金项目:

国家自然科学基金 31372417

安徽省卫生健康委员会委级课题 2018YK003

安徽省“十三五”重点培育专科 Anhui Sci Edu. No. 30(2017)

详细信息

通讯作者:
徐庆华, E-mail: xqh1126@sina.com

中图分类号: R181
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出版历程
- 收稿日期: 2019-05-10
- 修回日期: 2019-07-18
- 刊出日期: 2019-10-10

The analysis of Human Papillomavirus infection and subtype distribution in 8 744 females in Anhui Province

1.
Anhui Academy of Medical Sciences, Hefei 230061, China
2.
Hefei Kingmed for Clinical Laboratory Co. Ltd, Hefei 230088, China

Funds:

National Natural Science Foundation of China 31372417

Research Project of Health Commission of Anhui Province 2018YK003

Key Training Specicdites in the 13 th Five-Year Plan of Anhui Province Anhui Sci Edu. No. 30(2017)

More Information

Corresponding author: XU Qing-hua, E-mail: xqh1126@sina.com

摘要

摘要: 目的探讨安徽地区女性人乳头瘤病毒（Human Papillomavirus，HPV）分子流行病学现况，为HPV疫苗的推广使用提供参考依据。方法采用流式荧光杂交法检测安徽地区8 744例送检女性标本HPV亚型感染情况。结果高危型别和低危型别的感染率分别为16.10%和6.38%；HPV单一和多重感染率分别为13.85%和5.58%；HPV16型感染率最高，其次为52型和58型；皖南、皖中、皖北HPV感染率差异有统计学意义（χ²=13.790，P=0.008），皖北高危51型和56型感染率高于其他两个地区，差异有统计学意义（χ²=17.323，P < 0.001；χ²=9.643，P=0.008）；10~岁年龄组感染率最高（37.50%），其次是20~岁年龄组（23.19%）和≥ 60岁年龄组（22.16%），各年龄组感染率差异有统计学意义（χ²=61.855，P < 0.001）；不同年份HPV亚型感染率差异有统计学意义（χ²=59.479，P < 0.001），2015年份感染率最高。结论安徽地区HPV感染主要以高危单一型别感染为主，感染率前3的亚型依次是16型、52型和58型；不同地区HPV感染差异均有统计学意义（均有P < 0.05），个别型别有较高的感染率；HPV感染年龄分布总体呈两头高、中间低的分布趋势；不同年份HPV感染率呈逐年下降趋势。
- 安徽省 /
- HPV亚型 /
- 感染率 /
- 分布
Abstract: Objective To investigate the genotypes of Human Papillomavirus (HPV) infection and distribution characteristics of women in Anhui, and to provide reference for HPV molecular epidemiology research and promotion of vaccine in Anhui. Methods The flowcytometry fluorescence hybridization method were used to eaxm 8 744 samples of women HPV Subtype. Results The high-risk and low-risk infection rate of HPV were 16.10% and 6.38% respectively. The rate of single and multiple subtype were 13.85% and 5.58% respectively. HPV positive detectable rates were higher in HPV16, HPV52 and HPV58, HPV16 was the highest. The defection rate was significantly different among southern, central and northern in Anhui (χ²=13.790, P=0.008). The infection rates of high risk subtype 51 and 56 in northern were higher than those in the other two regions, and the difference was statistically significant (χ²=17.323, P < 0.001; χ²=9.643, P=0.008). Age distribution results showed that the age group with high infection rate was 10-age group (37.50%), 20-age group (23.19%) and ≥ 60 age group (22.16%), and the difference was statistically significant (χ²=61.855, P < 0.001). The infection rates of HPV subtypes in different years were significantly different (χ²=59.479, P < 0.001). The infection rate was the highest in 2015. Conclusions The high risk and single genotypes of infection were dominant in Anhui. HPV positive detectable rates were higher in HPV16, HPV52 and HPV58. There was significant difference in different regions (all P < 0.05) and there were some subtypes with higher infection rates. The age distribution of HPV infection showed a trend of high in youngest and oldest group and low in the middle. The infection rate in different years showed a downward trend year by year.
- Anhui Province /
- HPV genotype /
- Infection rate /
- Distribution

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图 1 HPV 27种亚型阳性例数分布

Figure 1. Distribution of HPV 27 subtype positive cases

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表 1 不同地区HPV亚型感染情况[n(%)]

Table 1. Situation of HPV subtype infection in different regions[n(%)]

地区	总感染率		高危		低危		51型	56型
地区	单一	多重	单一	多重	单一	多重	51型	56型
皖北	695(14.70)	287(6.07)	633(13.39)	175(3.70)	282(5.96)	38(0.80)	77(1.63)	82(1.70)
皖中	328(12.86)	137(5.37)	312(12.23)	80(3.14)	130(5.10)	20(0.78)	28(1.10)	27(1.10)
皖南	188(12.84)	64(4.37)	176(12.02)	32(2.19)	80(5.46)	8(0.55)	4(0.27)	12(0.80)
χ²值	13.790		11.985		3.482		17.323	9.643
P值	0.008		0.017		0.481		< 0.001	0.008

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表 2 不同年龄组HPV亚型感染情况[n(%)]

Table 2. Situation of HPV subtype infection in different age groups[n(%)]

年龄组(岁)	阳性	总感染率		高危		低危
年龄组(岁)	阳性	单一	多重	单一	多重	单一	多重
10~	51(37.50)	30(22.06)	21(15.44)	26(19.12)	18(13.24)	16(11.76)	1(0.74)
20~	499(23.19)	314(14.59)	185(8.60)	301(13.99)	115(5.34)	158(7.34)	29(1.35)
30~	448(17.20)	326(12.51)	122(4.68)	308(11.82)	65(2.50)	126(4.84)	17(0.65)
40~	484(18.07)	377(14.07)	107(3.99)	339(12.65)	61(2.28)	125(4.67)	14(0.52)
50~	174(17.79)	139(14.21)	35(3.58)	123(12.58)	15(1.53)	55(5.62)	4(0.41)
≥60岁	43(22.16)	25(12.89)	18(9.28)	24(12.37)	13(6.70)	12(6.19)	1(0.52)
合计	1 699(19.43)	1 211(13.84)	488(5.58)	1 121(12.82)	287(3.28)	492(5.63)	66(0.75)
χ²值	61.855	109.550		115.788		44.153
P值	< 0.001	< 0.001		< 0.001		< 0.001

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表 3 不同年龄组HPV亚型感染分布[n(%)]

Table 3. HPV subtype distribution of different age groups [n(%)]

HPV 亚型	总人数 (人)	年龄组(岁)
HPV 亚型	总人数 (人)	10~	20~	30~	40~	50~	≥60
6型	111(1.27)	6(4.41)	46(2.14)	33(1.27)	17(0.63)	6(0.61)	3(1.54)
11型	92(1.05)	9(6.62)	51(2.37)	20(0.77)	5(0.19)	5(0.51)	2(1.03)
16型	299(3.42)	9(6.62)	78(3.62)	66(2.53)	105(3.92)	32(3.27)	9(4.62)
18型	98(1.12)	6(4.41)	32(1.49)	20(0.77)	31(1.16)	6(0.61)	3(1.54)
26型	0(0.00)	0(0.00)	0(0.00)	0(0.00)	0(0.00)	0(0.00)	0(0.00)
31型	28(0.32)	3(2.21)	9(0.42)	8(0.31)	7(0.26)	0(0.00)	1(0.51)
33型	75(0.86)	0(0.00)	19(0.88)	20(0.77)	20(0.75)	8(0.82)	8(4.10)
35型	60(0.69)	4(2.94)	17(0.79)	15(0.58)	15(0.56)	8(0.82)	1(0.51)
39型	108(1.23)	3(2.21)	33(1.53)	33(1.27)	34(1.27)	5(0.51)	0(0.00)
40型	24(0.27)	0(0.00)	11(0.51)	4(0.15)	6(0.22)	3(0.31)	0(0.00)
42型	25(0.29)	0(0.00)	4(0.19)	4(0.15)	12(0.45)	3(0.31)	2(1.03)
43型	87(0.99)	1(0.74)	30(1.39)	27(1.04)	21(0.78)	6(0.61)	2(1.03)
44型	65(0.74)	1(0.74)	13(0.60)	11(0.42)	27(1.01)	11(1.24)	2(1.03)
45型	32(0.37)	0(0.00)	13(0.60)	3(0.12)	14(0.52)	0(0.00)	2(1.03)
51型	109(1.25)	8(5.88)	37(1.72)	29(1.11)	25(0.93)	7(0.72)	3(1.54)
52型	254(2.90)	7(5.15)	73(3.39)	90(3.45)	65(2.43)	13(1.33)	6(3.08)
53型	158(1.81)	8(5.88)	52(2.42)	35(1.34)	35(1.31)	2(2.04)	8(4.10)
55型	38(0.43)	0(0.00)	9(0.42)	10(0.38)	13(0.49)	5(0.51)	1(0.51)
56型	121(1.38)	4(2.94)	46(2.14)	26(1.00)	26(0.97)	17(1.74)	2(1.03)
58型	202(2.31)	3(2.21)	66(3.07)	51(1.96)	56(2.09)	18(1.84)	8(4.10)
59型	108(1.23)	10(7.35)	46(2.14)	21(0.81)	19(0.71)	8(0.82)	3(1.54)
61型	92(1.05)	0(0.00)	20(0.93)	28(1.07)	26(0.97)	17(1.74)	1(0.51)
66型	82(0.94)	3(2.21)	41(1.90)	15(0.58)	15(0.56)	6(0.61)	2(1.03)
68型	26(0.30)	3(2.21)	10(0.46)	9(0.35)	3(0.11)	1(0.10)	0(0.00)
81型	86(0.98)	1(0.74)	24(1.11)	23(0.88)	29(1.08)	8(0.82)	1(0.51)
82型	46(0.53)	3(2.21)	16(0.74)	15(0.58)	6(0.22)	5(0.51)	1(0.51)
83型	16(0.18)	0(0.00)	11(0.51)	2(0.08)	2(0.07)	1(0.10)	0(0.00)

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表 4 2015-2017年HPV状况[n(%)]

Table 4. Situation of HPV infection from 2015 to 2017 [n(%)]

年份	阳性	总感染率		高危		低危
年份	阳性	单一	多重	单一	多重	单一	多重
2015	258(26.46)	182(18.67)	76(7.79)	160(16.41)	46(4.72)	79(8.10)	13(1.33)
2016	646(21.35)	443(14.64)	203(6.71)	422(13.95)	121(4.00)	189(6.25)	22(0.73)
2017	795(16.76)	586(12.36)	209(4.41)	539(11.36)	120(2.53)	224(4.72)	31(0.65)
χ²值	59.479	64.086		46.583		26.166
P值	< 0.001	< 0.001		< 0.001		0.001

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