乙型肝炎病毒母婴传播的早期筛选

Early screening of mother-infant transmission for hepatitis B virus infection.

作者对100名入院产妇静脉血及100份新生儿脐血行母婴配对HBV检测,结果发现产妇HBV阳性54人,脐血HBV阳性52人,阳性率分别为54.0%、52.%.产妇及脐血HBV96.296%呈母婴配对阳性.同时发现100名产妇孕期保健卡中HBV正常60人,产时HBV阳性检出34人,再检阳性率占56.67%;不正常4人,产时HBV阳性4人,再检阳性率100%,未查36人,产时HBV阳性16人,再检阳性率44.44%,提示存有母婴传播高危因素.为提高围产期母婴保健质量,预防产时交叉感染,作者提出了建议.

The author of this artical performed a matched-pair examination for hepatitis B virus (HBV) in venous blood of 100 parturients and cord blood of 100 neonates, finally finding that 54 of the mothers and 52 of the infants showed positive reaction (the positive rate was 54% and 52% respectively) and that mother and infant being positive in pairs showed a paired positive rate of 96.296%. Meanwhile, it was noticed that in the antenatal care cards of 100 parturients, 60 cases were normal, but 34 of them turned positive at in-trapartum time (redetectable rate: 56.67%); 4 abnormal in their cards, and all of four remained positive in intrapurtum examination (100%); 36 not examined before admission, arid 16 of them were positive in intrapartum test (44.44%). The above data indicates a high risk of mother-infant transmission of HBV. In order to improve thequality of perinatal care for mother and infant, and to prevent intrapartum cross infection of HBV.