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为探讨母乳喂养与乙型肝炎病毒携带关系,对筛选出的145 例 H Bs Ag 阳性产妇应用酶联免疫法及 P C R 技术分别检测母血、乳汁、脐血及婴儿血 H B V5 项标志物及 H B V D N A。结果: H B V标志物阳性率与 H B V D N A 阳性率相关;母乳喂养后婴儿血 H B V 携带率比未母乳喂养时脐血 H B V携带率低,而且母乳喂养对有免疫防护的婴儿不会增加乙肝病毒的感染机会,反而母乳喂养后婴儿 H B V 携带率较母乳喂养前有下降趋势;应用乙肝免疫球蛋白于孕中期起注射,发现其初乳、脐血、婴儿血 H B V 携带率均有下降趋势,显示出这种免疫阻断法对降低新生儿 H Bs Ag 携带状态具有新的临床价值。
To investigate the relationship between breastfeeding and hepatitis B virus infection, 145 HbsAg-positive mothers were screened for Hb V5 markers using maternal blood, milk, umbilical cord blood and infants by enzyme-linked immunosorbent assay (ELISA) and P C R And H B V D N A. Results: The positive rate of H B V marker was correlated with the positive rate of H B V D N A; the carrier rate of H B V in infants after breastfeeding was lower than that of H B V in umbilical blood without breastfeeding, Immune protection of infants did not increase the chances of hepatitis B infection, but after breastfeeding babies H B V carrier rate than before breast-feeding has a downward trend; application of hepatitis B immunoglobulin in the second trimester injection and found that colostrum, umbilical cord blood, Hb V carrier rate of infant blood has a downward trend, showing that this method of blocking immunosuppression in neonatal H Bs Ag carrying a new clinical value.