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本文提示在围产期保健工作中,对人保孕妇除一般检查外,要查乙肝表面抗原,筛选出乙肝病毒携带者,采取相应的措施,进行科学管理、决定分娩方式、并对新生儿采取有效的防护措施、阻断母婴乙肝病毒传播、对消灭传染源、降低乙肝发病率有积极意义。通过对50例乙肝病毒携带者的孕妇分娩的新生儿、分别用高效价免疫球蛋白、乙肝疫苗以四种不同方法进行预防接种、通过跟踪免疫、定期复查乙肝表面抗原阳转率,证明对新生儿实行早期予防接种,效果显著。通过比较对照分析,提出了围保工作中应注意的几个问题。
This article suggests that in the perinatal care work, in addition to the general inspection of pregnant women, to check hepatitis B surface antigen, screening for hepatitis B virus carriers, take appropriate measures to carry out scientific management, determine the mode of delivery, and to take effective neonatal Of the protective measures to block the transmission of mother to child hepatitis B virus, to eliminate sources of infection, reduce the incidence of hepatitis B have a positive meaning. Through neonatal delivery of 50 pregnant women with HBV carriers, immunization with high titer immunoglobulin, hepatitis B vaccine in four different ways of vaccination, by tracking immunization, hepatitis B surface antigen recurrence rate of regular review of the newborn Children early to vaccination, the effect is significant. By comparing the comparative analysis, several problems that should be paid attention to in the work of environmental protection are put forward.