慢性乙肝病毒感染孕产妇的围产期管理效果分析

Analysis of the effect of perinatal management of chronic hepatitis B virus infection in pregnant women

目的:研究慢性乙肝病毒感染孕产妇实施围产期管理的内容及作用。方法:收治慢性乙肝病毒感染孕产妇189例,所有乙肝病毒感染孕产妇均实施围产期保健,包括加强预防乙肝母婴传播,将乙肝病毒感染的孕妇在孕期均列入高危管理,随访直至产后等,观察管理效果。结果:189例乙肝感染孕产妇共分娩新生儿190例,190例新生儿均按规范接种乙肝免疫球蛋白和乙肝疫苗,其中失访30例,后期拒绝检测36例,新生儿随访至12个月龄者124例,经检测均未感染乙肝病毒。结论:慢性乙肝病毒感染孕产妇实施围产期管理,降低了乙肝病毒母婴传播风险,保证了母婴健康。

Objective:To study the content and effect of perinatal management in pregnant women with chronic hepatitis B virus infection.Methods:189 pregnant women with chronic hepatitis B virus infection were selected,perinatal health care is carried out in all pregnant and lying in pregnant women with HBV infection,including strengthening the prevention of mother to child transmission of hepatitis B,the pregnant women with HBV infection are included in high risk management during pregnancy,followed up until postpartum,observed and the effect of management.Results:189 pregnant women with hepatitis B infection were born with 190 newborns,190 newborns were vaccinated with hepatitis B immunoglobulin and hepatitis B vaccine according to standard,30 cases were lost,36 cases were rejected later,and 124 cases were followed up to 12 months of age,the hepatitis B virus was not infected by the test.Conclusion:The perinatal management of the pregnant and parturant of chronic hepatitis B virus infection can reduce the risk of mother to child transmission of HBV,and ensure the health of mother and child.