系统管理HBV感染孕产妇对阻止母婴传播效果的研究

目的:探讨系统管理HBV感染孕产妇对阻止母婴传播的积极作用。方法:对邯郸市2005～2007年分娩的HBV感染孕产妇进行调查,将经过系统管理的283例与未经系统管理的657例孕产妇从6个方面进行对比。结果:系统管理组中接受科普宣教率、产时规范处置率、新生儿脐血检测率、婴幼儿生存环境优化率及10～12月龄婴儿抗体产生率均明显高于非系统管理组(P<0.01),实施母婴阻断(注射乙肝免疫球蛋白)率亦高于非系统管理组(P<0.05)。结论:对HBV感染的孕产妇实行系统管理可有效地切断母婴传播途径,提高母婴阻断成功率。

Study on effects of system management of hepatitis B virus infected pregnant women on maternal-neonatal transmission blocking

Objective:To explore active effect of system management of pregnant women infected by hepatitis B virus on maternal-neonatal transmission blocking.Methods:Hepatitis B virus infected pregnant women delivering from 2005 to 2007 were selected,283 cases in system management group and 657 cases in non-system management group were compared from 6 aspects.Results:Accepting popular science educate rate,born disposal norms rate,neonatal cord blood detection rate,baby survive environment optimized rate,10~12 month baby antibody rate and the rate of maternal-neonatal transmission blocking in system management group were higher than those in non-system management group(P<0.01,P<0.05).Conclusion:System management of HBV infected pregnant women can stop maternal-neonatal transmission effectively and increase success rate.