乙型肝炎病毒携带者孕期抗病毒宫内阻断的护理管理分析  

Analysis of Nursing Management of Antiviral Intrauterine Interruption of Patients with HBV during Pregnancy

作　　者：张蕊[1] 卢法英[1] 刘梅[1] 

机构地区：[1]济南市传染病医院门诊部,山东济南250021

出　　处：《中国卫生产业》2016年第31期145-147,共3页China Health Industry

摘　　要：目的观察携带乙型肝炎病毒(HBV)者孕期的抗病毒宫内阻断护理管理。方法择取2015年2月—2016年2月该院收治的122例携带HBV孕妇临床资料,依是否自愿行孕期抗病毒宫内阻断设对照组与研究组,各61例,前者不采取任何阻断措施,后者给予替比夫定进行阻断,并配合对应护理管理干预,观察两组母婴阻断,新生儿及HBV产时感染情况。结果研究组母婴阻断率高于对照组(P<0.05);研究组低体重儿、新生儿窒息发生率低于对照组(P<0.05);研究组HBV产时感染率低于对照组(P<0.05)。结论对携带HBV者孕期实施抗病毒宫内阻断护理管理可降低产时HBV母婴传播风险,提高治疗依从性,治疗效果显著,具一定临床推广与应用价值。Objective To observe the nursing m anagem ent of antiviral intrauterine interruption of patients with HBV duringpregnancy. Methods 122 cases of patients with HBV adm itted and treated in our hospital from February 2015 to February2016 were selected and divided into two groups with 61 cases in each according to w hether to accept the antiviral intrauterineinterruption or not during pregnancy voluntarily, the form er did not take any interruption m easures, the latter adoptedthe telbivudine for interruption and corresponding nursing m anagem ent intervention, and the m aternal and infant interruptionand neonate infection were observed. Results The m aternal and infant interruption rate in the research group was higherthan that in the control group, P〈0.05, the incidence rate of low birthw eight babies and asphyxia neonatorum in the researchgroup was lower than that in the control group, P〈0.05, and the infection rate of HBV in the research group was lowerthan that in the control group, P 〈 0.05. Conclusion The im plem entation of nursing m anagem ent for patients with HBVduring pregnancy can reduce the HBV m aternal and infant transm ission risk and improve the treatm ent com pliance with obvioustreatm ent effect, which is of a certain clinical promotion and application value.

关 键 词：孕期 乙型肝炎病毒 抗病毒宫内阻断 护理管理 

分 类 号：R473[医药卫生—护理学]