妊娠合并乙型肝炎对产妇和新生儿的影响分析

目的探讨分析妊娠合并乙型肝炎对产妇和新生儿的影响。方法随机抽取2009年1月—2014年6月间在该院收治的妊娠合并乙型肝炎患者126例,设为研究组,再随机抽取同期到我院进行分娩的无乙型肝炎病毒感染的孕妇40例设为对照组,比较两组患者的产妇住院天数、产后出血、早产、宫内窘迫、低体重儿、新生儿窒息情况,进行回顾性对比分析。结果研究组产妇的住院天数和产后出血显著高于对照组,差异有统计学意义（P〈0.05）。研究组中新生儿早产的有40例,发生宫内窘迫的有51例,低体重儿有44例,新生儿窒息的有62例,HBV感染的有64例;对照组中新生儿早产的有4例,发生宫内窘迫的有2例,低体重儿有1例,新生儿窒息的有5例,HBV感染的有0例,差异有统计学意义（P〈0.05）。结论妊娠合并乙型肝炎对产妇和新生儿均有不同程度的影响,需要加强治疗措施。

Analysis of the Impact of Pregnancy with Hepatitis B on Parturients and Newborns

Objective To investigate and analyze the impact of pregnancy with hepatitis B on parturients and newborns. Methods126 pregnant women with hepatitis B admitted in our hospital from January 2009 to June 2014 were randomly selected as the study group, and 40 pregnant women without hepatitis B infection delivered in our hospital during the same period were selected as the control group. The maternal hospitalization days, postpartum hemorrhage, preterm birth, intrauterine distress, infant of lowbirth weight, neonatal asphyxia were compared and analyzed between the two groups retrospectively. Results The hospitalization days and the number of patients with postpartum hemorrhage in the study group were much more than those in the control group,the difference was statistically significant（P〈0.05）. Of the newborns in the study group, there were 40 cases of premature birth, 51 cases of intrauterine distress, 4 infants of low-birth weight, 62 cases of neonatal asphyxia, 64 cases with HBV infection; of the newborns in the control group, there were 4 cases of premature birth, 2 cases of intrauterine distress, 1 infant of low-birth weight,5 cases of neonatal asphyxia, 0 case with HBV infection, the difference was statistically significant（P〈0.05）. Conclusion Pregnancy with hepatitis B has effects of different degrees on parturients and newborns, so the treatment is needed to be strengthened.