Analysis of results of four communicable diseases on 16 348 cases of pregnant women in Shiyan city
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摘要: 目的:了解本地区孕产妇对乙型肝炎、丙型肝炎、梅毒、艾滋病等4种传染性疾病的感染情况。方法:住院分娩的待产孕妇及门诊孕检者16 348例分别进行乙型肝炎病毒血清标志物(HBVM)、丙型肝炎病毒抗体(抗HCV)、人类免疫缺陷病毒抗体(抗HIV)和梅毒抗体检测。结果:16 348例孕产妇中发现血清乙型肝炎表面抗原(HBsAg)阳性1 372例(8.39%),抗HCV阳性17例(0.10%),梅毒阳性(RPR及TPPA)333例(2.04%),抗HIV阳性2例。本地区孕产妇乙型肝炎感染率在逐年上升,2010年和2011年与2009年比较差异均无统计学意义(P>0.05);丙型肝炎感染率较低并呈逐年下降的趋势;梅毒的感染率在逐年上升,由2009年的1.59%上升至2011年的2.34%,2010年与2009年比较,差异无统计学意义(P>0.05),2011年与2009年比较差异有统计学意义(P<0.01)。结论:孕产妇是血源性疾病垂直传播的重要因素,对孕产妇人群应该高度重视,以减少血源性疾病通过母婴垂直传播感染,孕妇产前检查HIV、HBV、HCV及梅毒4项传染指标并及时采取干预措施,对优生优育具有重要意义。
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关键词:
- 孕产妇 /
- 乙型肝炎血清标志物 /
- 丙型肝炎病毒抗体 /
- 人类免疫缺陷病毒抗体 /
- 梅毒
Abstract: Objective:To investigate the infection situation of the four communicable diseases hepatitis B,hepatitis C,syphilis and AIDS among pregnant women in this area.Method:16 348 predelivery pregnant women received the pregnancy testing,including hepatitis B virus serum markers(HBVM),anti-hepatitis C virus antibody(anti-HCV),human immunodeficiency virus antibody(anti-HIV) and syphilis antibody.Result:There were 1372(8.39%) women hepatitis B virus surface antigen(HBsAg)-positive,17(0.1%)women anti-HCV positive,333(2.04%) syphilis-positive (RPR and TPPA) and 2 anti-HIV positive in 16348 pregnant women.The infectious incidence of hepatitis B was rising year after year.There was no significant difference between 2010,2011 and 2009(P>0.05).The Infectious incidence of hepatitis C was low and dropping year by year.The infectious incidence of syphilis was rising from 1.59% in 2009 to 2.34% in 2011,there was no statistic significance between 2009 and 2010(P>0.05),and there was a significant difference between 2011 and 2009(P<0.01).Conclusion:Pregnant woman is the important factor of vertical transmission of blood-borne diseases.It’s should pay highly attention to the group of pregnant women to reduce vertical transmission of blood-borne diseases.There may be a great significance for healthy pregnant women to do antenatal examination of HIV,HBV,HCV and syphilis,and take intervening measures in time. -
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