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时间:2020-05-07
《妊娠晚期注射乙肝免疫球蛋白阻断乙肝病毒母婴传播的临床研究-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、堡堂堡璺墼壁生筮鲞筮!塑:!!Q:!』!壁垡!壁殳!&Prac1411妊娠晚期注射乙肝免疫球蛋白阻断乙肝病毒母婴传播的临床研究高争谭乐静王晓红莱芜市人民医院妇产科,山东省莱芜市271100摘要目的:研究孕妇妊娠晚期注射乙肝免疫球蛋白对阻断乙肝病毒母婴传播的影响。方法:选取2011年1月一2013年1月间入院诊治的乙肝表面抗原、乙肝e抗原均为阳性的孕妇160例,根据数字随机表法随机分为实验组(80例)和对照组(80例)。其中实验组在妊娠28周开始每间隔4周肌肉注射一次乙肝免疫球蛋白(200IU),共注射3次;对照组妊娠晚期不注射乙肝免疫球蛋白。在胎儿娩出后手挤脐静脉血进行乙肝表面抗
2、原测定,观察妊娠晚期注射乙肝免疫球蛋白对婴儿免疫效果的影响。结果:新生儿感染情况中,实验组HBsAg与HBeAb均阴性69例,占86.25,对照组为57例,占71.25%;仅HBsAg阳性实验组1O例,占l2.5O,对照组l8例,占22.5O;HBsAg与HBeAb均阳性实验组1例,占1.25,对照组5例,占6.25;实验组宫内感染率为12.5O,对照组为27.5O;两组差异显著(P<0.05)。感染风险比较中,实验组孕妇极低风险组22例,新生儿感染率为9.09,对照组孕妇极低风险组23例,新生儿感染率13.o4,两组无显著差异(P>0.05);实验组孕妇低风险组26例,新生儿感
3、染率15.38,对照组孕妇低风险组23例,新生儿感染率为21.74,两组无显著差异(P>O.05);实验组孕妇高风险组32例,新生儿感染率为15.63,对照组孕妇高风险组34例,新生儿感染率为44.12,两组差异显著(P4、411-03ClinicalStudiesofMothertoChildTransmissionofHepatitisBVirusinLatePregnancyInjectionofttepatitisBImmuno-globulinBlockingGAOZheng,TANLejing,WANGXiaohong.DepartmentofGynaecologyandObstetrics,People’sHospitalofLaiwu,ShandongProvince271100ABSTRACTObjective:Tostudythepregnanciesin1ateinjectio5、nofhepatitisBimmunoglobulinblockingeffectonmoth—ertochildtransmissionofhepatitisBvirus.Methods:BetweenJanuary2011toJanuary2013admittedfortreatmentofhepatitisBsurfaceantigen,hepatitisBeantigen-positivepregnantwomenwere160cases,accordingtofiguresrandomlywererandomlydividedintoexperimentalgroup(6、80cases)andcontrolgroup(80cases).Eachexperimentalgroupat28weeksofpregnancyintervalsbeginningfourweeksintramuscularlyonceahepatitisBimmuneglobulin(200IU),atotalofthreeinjections;latepregnancydoesnotcontrolinjectionofhepatitisBimmuneglobulin.AfterthefetusphonecordbloodofhepatitisBsurfaceantigen7、determinationtoobservetheeffectsofinjectionofhepatitisBimmuneglobulininlatepregnancyoninfantimmunizationeffect.Results:Neonatalinfection,theexperimentalgroupwerenegativeforHB-sAgandHBeAb69cases,accountingfor86.25inthecontrolgroup57cases,accou
4、411-03ClinicalStudiesofMothertoChildTransmissionofHepatitisBVirusinLatePregnancyInjectionofttepatitisBImmuno-globulinBlockingGAOZheng,TANLejing,WANGXiaohong.DepartmentofGynaecologyandObstetrics,People’sHospitalofLaiwu,ShandongProvince271100ABSTRACTObjective:Tostudythepregnanciesin1ateinjectio
5、nofhepatitisBimmunoglobulinblockingeffectonmoth—ertochildtransmissionofhepatitisBvirus.Methods:BetweenJanuary2011toJanuary2013admittedfortreatmentofhepatitisBsurfaceantigen,hepatitisBeantigen-positivepregnantwomenwere160cases,accordingtofiguresrandomlywererandomlydividedintoexperimentalgroup(
6、80cases)andcontrolgroup(80cases).Eachexperimentalgroupat28weeksofpregnancyintervalsbeginningfourweeksintramuscularlyonceahepatitisBimmuneglobulin(200IU),atotalofthreeinjections;latepregnancydoesnotcontrolinjectionofhepatitisBimmuneglobulin.AfterthefetusphonecordbloodofhepatitisBsurfaceantigen
7、determinationtoobservetheeffectsofinjectionofhepatitisBimmuneglobulininlatepregnancyoninfantimmunizationeffect.Results:Neonatalinfection,theexperimentalgroupwerenegativeforHB-sAgandHBeAb69cases,accountingfor86.25inthecontrolgroup57cases,accou
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