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目的探讨乙型病毒性肝炎(乙型肝炎)合并妊娠对母婴的影响。方法选取2009年1月至2011年12月分娩的57例乙型肝炎孕妇做为观察组,选择同期57例乙肝表面抗原检测阴性的孕妇做为对照组,观察2组新生儿乙肝病毒宫内感染率、低出生体重儿数、产后出血孕妇数、孕妇住院天数等情况。结果脐血乙肝病毒标志物阳性率观察组为64.91%,对照组为1.75%,观察组高于对照组(P<0.01);低出生体重儿发生率观察组为8.77%,对照组为5.26%,2组之间无明显差异(P>0.05);产后出血发生率观察组为43.86%,对照组为8.77%,观察组高于对照组(P<0.05);孕产妇住院天数观察组为(8±3.2)d,对照组为(3±2.1)d,观察组高于对照组(P<0.01)。结论乙型肝炎病毒可宫内感染胎儿,增加产后出血量,延长孕产妇住院天数。
Objective To investigate the influence of hepatitis B (HBV) combined with pregnancy on maternal and infant. Methods Fifty-seven pregnant women with hepatitis B who gave birth from January 2009 to December 2011 were selected as the observation group. Fifty-seven pregnant women with negative HBsAg detection during the same period were selected as the control group. Two groups of intrauterine infection of hepatitis B virus Rate, low birth weight, number of postpartum hemorrhage pregnant women, maternity days and so on. Results The positive rate of markers of cord blood HBV was 64.91% in the observation group and 1.75% in the control group, and the observation group was higher than that in the control group (P <0.01). The incidence of low birth weight children was 8.77% in the observation group and 5.26% (P> 0.05). The incidence of postpartum hemorrhage in the observation group was 43.86% and in the control group was 8.77%, the observation group was higher than the control group (P <0.05) 8 ± 3.2) d, the control group was (3 ± 2.1) d, the observation group was higher than the control group (P <0.01). Conclusion Hepatitis B virus can be intrauterine infection of the fetus, increase the amount of postpartum hemorrhage, prolonged maternal hospital days.