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胡婷, 冀涛, 王素萍, 魏俊妮, 阎娟娟, 冯丽萍. 乙肝免疫球蛋白阻断HBV宫内感染效果分析[J]. 中国公共卫生, 2010, 26(7): 841-842. DOI: 10.11847/zgggws2010-26-07-20
引用本文: 胡婷, 冀涛, 王素萍, 魏俊妮, 阎娟娟, 冯丽萍. 乙肝免疫球蛋白阻断HBV宫内感染效果分析[J]. 中国公共卫生, 2010, 26(7): 841-842. DOI: 10.11847/zgggws2010-26-07-20
HU Ting, JI Tao, WANG Su-ping, . Blocking effect of hepatitis B immunoglobulin on HBV intrauterine infection[J]. Chinese Journal of Public Health, 2010, 26(7): 841-842. DOI: 10.11847/zgggws2010-26-07-20
Citation: HU Ting, JI Tao, WANG Su-ping, . Blocking effect of hepatitis B immunoglobulin on HBV intrauterine infection[J]. Chinese Journal of Public Health, 2010, 26(7): 841-842. DOI: 10.11847/zgggws2010-26-07-20

乙肝免疫球蛋白阻断HBV宫内感染效果分析

Blocking effect of hepatitis B immunoglobulin on HBV intrauterine infection

  • 摘要: 目的了解2003-2008年HBsAg阳性孕妇乙肝免疫球蛋白(hepatitis B immunoglobulin,HBIG)注射情况并评价其阻断乙型肝炎病毒(HBV)宫内感染的效果。方法采用问卷调查方式收集HBsAg阳性孕妇孕期HBIG注射史,酶联免疫吸附试验(ELISA)法检测孕妇外周血HBsAg、HBeAg及新生儿出生24h内股静脉血HBsAg,实时荧光定量PCR测定母亲外周血HBVDNA。以新生儿外周血HBsAg阳性判断为宫内感染。结果2003-2008年孕期HBIG全程注射率从40.4%增长至64.8%,各年全程注射率差异有统计学意义(χ2=22.087,P=0.001);宫内感染率为8.0%~10.0%,各年宫内感染率差异无统计学意义;经χ2检验表明,孕期HBIG注射与宫内感染无关(χ2=0.024,P=0.877)。结论孕期注射HBIG不能阻断HBV宫内感染。

     

    Abstract: ObjectiveTo know the use of hepatitis B immunoglobulin(HBIG)among hepatitis B surface antigen (HBsAg)positive mothers during late pregnancy from 2003 to 2008 and to evaluate the blocking effect of HBIG on mother to infant transmission of hepatitis B virus(HBV).MethodsThe information on use of HBIG in HBsAg positive mothers was collected with questionnaire.HBeAg and HBsAg was detected with ELISA.HBV DNA in HBsAg positive mothers were detected with RT-PCR.HBV intrauterine infection occurrence was defined if the HBsAg of the newborn was positive.ResultsThe rate of valid HBIG injection during pregnancy were increased from 40.0% to 64.8% in the years and there was a significant yearly difference(χ2=22.087,P=0.001).The rates of HBV intrauterine infection were increased from 8.0% to 10.0% with no significant difference.The administration of HBIG showed no significant effect on HBV intrauterine infection with Chi-square test(χ2=0.024,P=0.877).ConclusionThe blocking effect of HBIG administeration on HBV intrauterine transmission is not found.

     

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