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《乙肝病毒携带产妇感染状态与新生儿发生宫内感染的相关性分析-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、华疾病控制杂志2014年5月第18卷第5期·391·乙肝病毒携带产妇感染状态与新生儿发生宫内感染的相关性分析王兰芳一,蔡娟,何刘媛,唐胜利,王朝红,朱建生,沈继龙【摘要1目的探讨孕妇乙肝感染状态与新生儿宫内感染的关系。方法将115例乙肝表面抗原(hepatitisBsurfaceantigen,HBsAg)阳性的孕妇分为A组(乙肝HBsAg,HBeAg,HBcAb阳性组)、B组(乙肝HBsAg,HBeAb.HBcAb阳性组)、C组(HBsAg,HBcAb阳性组)、D组(HBsAg,HBeAg阳性组)
2、。对上述部分孕妇进行乙肝两对半及PCR—HBV—DNA值的检测,对其所生的新生儿在出生后24h内进行乙肝两对半的检测。结果乙肝大三阳(HBsAg,HBeAg,HBcAb阳性)孕妇与乙肝小三阳(HBsAg,HBeAb,HBcAb阳性)孕妇比较,新生儿发生宫内感染差异无统计学意义(P=0.256),乙肝孕妇体内HBV—DNA值>10基因拷贝/ml时发生新生儿宫内感染高于体内HBV—DNA值<10基因拷AI/ml(P=0.001)。结论乙肝大三阳孕妇或体内HBV—DNA载量高是新生儿宫内感染的危险因素,应
3、及时给予阻断,产后及时采取联合免疫措施,减少乙肝患儿的发生。【关键词】肝炎,乙型;疾病传播,垂直;婴儿,新生;流行病学【中图分类号】R575.1;R722.1【文献标识码】A【文章编号】1674—3679(2014)05-0391-03AcorrelationstudyoftheimpactofmaternalHBVinfectionontheintrauterustransmissiontonewborninfantsWANGLan—fang,,CAIJuan,HELiu—yuan。,TANGSh
4、eng—li,WANGChao—hong,ZHUJian—sheng,SHENJi一1ong.1.DepartmentofPathogenBiology,AnhuiMedicalUniversityandtheKeyLaboratoryofMicrobiologyandZoonoses,Hefei230032,China;2.TheMaternalandChildren'sCareSetriceCenter.Hefei230001.Cina【Abstract】ObjectiveToinvestiga
5、tetherelationshipbetweenHepatitisBVirus(HBV)infectionofpregnantwomenandintrauterineHBVinfection.MethodsBasedonthepositiveitemsofhepatitisBsurfaceantigen(HBsAg)ex—amination,115casesofHBsAgpositivepregnantwomenweredividedintogroupA(positiveantigensofHBsA
6、g,HBeAgandHBcAb);groupB(positiveantigensofHBsAg,HbeAbandHBcAb);groupC(positiveantigensofHBsAgandHBcAb);andgroupD(positiveantigensofHBsAgandHBeAg).Thepregnantwomenandtheirnewbornbabies24hafterbirthweredetectedforserafiveantigensofhepatitisB.ResultsThepr
7、egnantwomenofgroupAandgroupBhadnosignificantdifierence(P=0.256)inneonatalintrauterineinfection,Thewomenwith>10HBV—DNAcopies/ndserahadahigherprobabilitythanthosewhohad<10HBV—DNAcopies/mlsera(P=0.001)togivebirthtothebabieswithintrauterinein.fection.Concl
8、usionsThehigh1oadofmaternalhepatitisBHBeAgorHBV—DNAisoneoftheriskfactorsforintrauterineinfectionofnewborninfants.Measuresshouldbetakentoblocktheintrauterineinfectionandpostpartumtaketime1vmeas.uresofcombinedvaccinationsshouldbetakentore
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