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目的:分析妊娠期孕妇伴有乙型肝炎病毒(HBV)感染对新生儿与产后感染的影响和治疗对策。方法:选取医院2010年1—12月间收治的妊娠期伴有HBV感染孕妇42例为对照组;另选取医院2013年1—12月间收治的妊娠期伴有HBV感染孕妇98例为干预组;对照组孕妇给予常规护理方法,干预组患者在对照组基础上给予预见性护理干预,比较干预前后两组孕妇妊娠期并发症的发生率、新生儿并发症的发生率以及新生儿HBV感染的发生情况。结果:通过预见性护理干预措施的落实,干预组孕妇治疗后发生胎膜早破、妊高症、产后出血的发生率均显著低于对照组(P<0.05);干预组新生儿发生窒息、早产、低体质量儿的发生率显著低于对照组(P<0.05);干预组新生儿发生HBV感染率为3.06%低于对照组为26.19%,经比较其差异有统计学意义(P<0.05)。结论:妊娠期孕妇伴有HBV感染严重影响妊娠预后,实施预见性护理干预措施是降低妊娠并发症和确保母婴安全的重要措施,临床效果较为确切。
Objective: To analyze the influence of hepatitis B virus (HBV) infection in pregnant women during pregnancy on neonatal and postpartum infection and treatment strategies. Methods: Forty-two pregnant women with HBV infection in pregnancy during January to December in 2010 were selected as the control group. Another 98 pregnant women with HBV infection during pregnancy admitted from January to December in 2013 were selected as the intervention group ; Control group of pregnant women given conventional nursing methods, the intervention group on the basis of the control group to give predictive nursing intervention before and after intervention in the incidence of complications of pregnancy in pregnant women, the incidence of neonatal complications and neonatal HBV infection What happened? Results: Through the implementation of predictive nursing interventions, the incidence of premature rupture of membranes, pregnancy-induced hypertension and postpartum hemorrhage in the intervention group were significantly lower than those in the control group (P <0.05). Asphyxia, The incidence of preterm birth and low birth weight children was significantly lower than that of the control group (P <0.05). HBV infection rate in neonates with intervention group was 3.06% lower than that in control group (26.19%) (P < 0.05). Conclusion: Pregnant women with HBV infection during pregnancy seriously affect the prognosis of pregnancy. The implementation of predictive nursing interventions is an important measure to reduce pregnancy complications and ensure the safety of mother and infant. The clinical effect is more exact.