慢性无症状乙型肝炎病毒感染者妊娠结局分析  

Clinical analysis of pregnancy outcome of chronic asympomatic HBV carriers

作　　者：唐宏[1] 张华[1] 

机构地区：[1]首都医科大学附属北京佑安医院妇产科,100069

出　　处：《内蒙古中医药》2010年第2期53-54,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:分析慢性无症状乙型肝炎病毒感染(HBV携带)特别是HBeAg阳性情况下的妊娠结局。方法:对HBV携带孕产妇1163人发生产科并发症包括羊水过少、羊水过多、产后出血、胎儿窘迫、妊娠期高血压疾病、胎儿生长受限和早产的机率进行回顾统计,与正常孕产妇对照。将HBV携带孕产妇分为两组,A组HBeAg阳性566人,B组HBeAg阴性597人,进行两组间产科并发症发生率对照。结果:HBV携带孕产妇发生羊水过少、产后出血、妊娠期高血压疾病的几率较正常产妇高;HBV携带孕产妇A组发生羊水过少、产后出血、胎儿窘迫、妊娠期高血压疾病和早产机率较B组明显升高。结论:加强对HBV携带孕产妇,特别是HBeAg阳性孕产妇的保健和治疗工作是非常必要的。Objective：To analyze the pregnancy outcome in condition of chronic asympomatic HBV infection, especially when HBeAg is posi- tive. Methods：To investigate the frequency of Obstetric complications, including oligohydramnios, polyhydramnios, postpartum hemorrhage, fetal distress, hypertensive disorder complicating pregnancy, fetal growth restriction and premature delivery in 1163 pregnant women, who are chronic asympomatic HBV carriers, and to compare with normal pregnant women. To divide the HBV carrying pregnant women into two parts, 566 women with HBeAg positive in part A and 597 women with HBeAg negative in part B, and to compare with each other. Results： The frequency of oligohydramnios, postpartum hemorrhage and hypertension disorder complicating pregnancy are higher among chronic asympomatie HBV carrying pregnant women compared with normal women. Among chronic asympomatic HBV carriers, the frequency of polyhydramnios, postpartum hemorrhage, fetal distress, hypertensive disorder complicating pregnancy and premature delivery are much higher in part A （HBeAg positive）than part B （HBeAg negative）. Conelusion： It is very necessary to emphasize the health caring and treatment for HBV carrying pregnant women, especially for those who are positive in HBeAg.

关 键 词：HBV携带 妊娠 产科并发症 

分 类 号：R512.6[医药卫生—内科学]