乙型肝炎免疫球蛋白联合泰来肽对感染HBV孕妇血清和初乳HBV-DNA含量的影响  

The Effect of HBIG Combined with Tailaitai on Levels of HBV-DNA of Colostrum and HBV-Infected Pregnancy Serum

作　　者：张盛茹[1] 张学海[1] 李勇[2] 张秀香[1] 

机构地区：[1]山东省济宁市传染病医院,272030 [2]山东省济宁卫生学校

出　　处：《中国全科医学》2007年第22期1879-1880,共2页Chinese General Practice

摘　　要：目的研究乙型肝炎免疫球蛋白(HBIG)和泰来肽(TLT)对感染HBV孕妇血清和初乳HBV-DNA含量的影响。方法选择感染HBV的孕妇(HBsAg、HBeAg、HBV-DNA阳性)162例,分为:治疗Ⅰ组50例,于妊娠20周起肌肉注射HBIG200IU,1次/月,至分娩为止;治疗Ⅱ组40例,在治疗Ⅰ组肌注HBIG的基础上自妊娠28周起肌注TLT2ml,1次/d,至分娩为止;对照组72例,自然观察。分别采集孕妇治疗前、后血清和初乳,检测HBV-DNA含量。结果治疗前3组孕妇血清HBV-DNA含量间差别无显著性意义(P>0.05);治疗后3组孕妇血清和初乳HBV-DNA含量间差别均有显著性意义(P<0.05),而治疗后治疗Ⅰ、Ⅱ组孕妇血清和初乳HBV-DNA含量间差异均无显著性意义(P>0.05)。结论HBIG联合TLT与单独使用HBIG对孕妇血清和初乳中HBV-DNA的含量无差别。Objective To study the effect of HBIG combined with Tailaitai（TLT）on levels of HBV-DNA of colostrum and HBV-infected pregnancy serum.Methods 72 gravidas were selected as a control group,who were observed naturally,162 were divided into two groups：Group Ⅰ（50 gravidas）,who were given intramuscular（IM）injections of HBIG（200 IU,once a month）from the 20th week to delivery time,Group Ⅱ（40 gravidas）,who were given additional IM of TLT（once daily,from the 28th week to delivery time）besides HBIG.We examined the levels of HBV-DNA of serum and colostrum,which were collected respectively before and after the treatment.Results There was no significant difference in levels of serum HBV-DNA among the three groups before treatment（P〉0.05）,Significant difference was observed in levels of HBV-DNA of serum and colostrum among the three groups after treatment（P〈0.05）,There was no significant difference in levels of HBV-DNA of serum and colostrum between Group Ⅰ and Group Ⅱ after treatment（P〉0.05）.Conclusion The treatment with HBIG combined with TLT has the same effect as that with only HBIG on HBV-DNA levels of pregnancy serum and colostrum.

关 键 词：免疫法 被动 泰来肽 肝炎 乙型 

分 类 号：R512.62[医药卫生—内科学]