摘要
目的:了解本院产科门诊孕期妇女乙型肝炎病毒感染情况,为围产期进行干预管理,预防母婴传播提供参考依据。方法:回顾性分析2022年8月至2023年12月在本院产科门诊接受初次孕产期保健的孕期妇女进行血清乙型肝炎五项检测的实验结果。结果:受检2359人中乙肝HBsAg阳性187人,阳性率7.93%,其中,>40岁组检出阳性11例(18.33%)感染率最高,≤25岁组检出阳性9例(4.13%)感染率最低,26~30岁组检出阳性51例(6.17%),31~35岁组检出阳性71例(8.39%),36~40岁组检出阳性45例(11.00%),通过对不同年龄组HBsAg阳性率比较差异有统计学意义(P 40岁组检出HBsAb阳性37例(61.67%),通过不同年龄组的比较,差异具有统计学意义(P Objective: To understand the infection status of hepatitis B virus in pregnant women in the obstetrics outpatient department of our hospital, and provide reference for intervention and management during the perinatal period to prevent mother to child transmission. Method: A retrospective analysis was conducted on the experimental results of five serum hepatitis B tests conducted on pregnant women who received their first prenatal care at the obstetrics clinic of our hospital from August 2022 to December 2023. Results: Among 2359 people tested, 187 were positive for hepatitis B HBsAg, with a positive rate of 7.93%. Among them, 11 cases (18.33%) were positive in the group over 40 years of age, and 9 cases (4.13%) were positive in the group under 25 years of age. The infection rate was the lowest, 51 cases (6.17%) were positive in the group between 26 and 30 years of age, 71 cases (8.39%) were positive in the group between 31 and 35 years of age, and 45 cases (11.00%) were positive in the group between 36 and 40 years of age. By comparing the positive rates of HBsAg in different age groups, there was a statistically significant difference (P 40 age group. The differences between different age groups were statistically significant (P < 0.05). Conclusion: HBsAg positive is the most important risk factor of neonatal hepatitis B infection. Early determination of pregnant women’s hepatitis B infection can reduce the risk of mother to child transmission of hepatitis B, and ensure maternal and infant health and social stability;A large number of pregnant women are still negative for HBsAb, so it should be recommended to vaccinate hepatitis B vaccine in time.
出处
《医学诊断》
2024年第3期308-312,共5页
Medical Diagnosis
