妊娠期孕妇伴有乙型肝炎病毒感染对新生儿与产后感染的影响和治疗对策  

Influence of Pregnant Women During Pregnancy Infected with HBV on Neonatal and Postpartum Infection and Its Countermeasures

作　　者：金菊妹 汤国红[2] 

机构地区：[1]苏州市立医院本部感染管理科,江苏苏州215007 [2]苏州市第五人民医院感染管理科,江苏苏州215007

出　　处：《抗感染药学》2016年第5期1072-1074,共3页Anti-infection Pharmacy

摘　　要：目的:分析妊娠期孕妇伴有乙型肝炎病毒(HBV)感染对新生儿与产后感染的影响和治疗对策。方法:选取医院2010年1—12月间收治的妊娠期伴有HBV感染孕妇42例为对照组;另选取医院2013年1—12月间收治的妊娠期伴有HBV感染孕妇98例为干预组;对照组孕妇给予常规护理方法,干预组患者在对照组基础上给予预见性护理干预,比较干预前后两组孕妇妊娠期并发症的发生率、新生儿并发症的发生率以及新生儿HBV感染的发生情况。结果:通过预见性护理干预措施的落实,干预组孕妇治疗后发生胎膜早破、妊高症、产后出血的发生率均显著低于对照组(P<0.05);干预组新生儿发生窒息、早产、低体质量儿的发生率显著低于对照组(P<0.05);干预组新生儿发生HBV感染率为3.06%低于对照组为26.19%,经比较其差异有统计学意义(P<0.05)。结论:妊娠期孕妇伴有HBV感染严重影响妊娠预后,实施预见性护理干预措施是降低妊娠并发症和确保母婴安全的重要措施,临床效果较为确切。Objective： To analyze the influence of pregnant women during pregnancy infected with hbv on neonatal and postpartum infection and its countermeasures. Methods： 42 cases of pregnant women infected by HBV from January to December 2010 were selected as the control group, 98 cases of pregnant women infected by HBV from January to De- cember 2013 were selected as the interventional group and underwent foreseeable nursing intervention. Routine nursing care was adopted in the control group, while foreseeable nursing intervention was adopted in the interventional group. The pregnancy complication rate of pregnant women, neonatal complication rate and the incidence of intrauterine HBV in- fection were compared before and after the intervention. Results： Through the foreseeable nursing intervention, the inci- dences of premature rupture of membranes, gestational hypertension and postpartum hemorrhage in the interventional grOuP were significantly lower than those in the control group （P〈0.05）. The incidences of neonatal asphyxia, premature labor and infant of low-birth weight in the interventional group were significantly lower than those in the control group（P〈 0.05）. Neonatal HBV infection rate of intervention group were 3.06% lower than the control group were 26.19%, the dif- ference were statistical significance（P〈0.05）. Conclusion： The pregnant women during pregnancy infected with HBV se- riously affects the prognosis of pregnancy. Implementation of foreseeable nursing intervention is essential to reduce the complications of pregnancy and to ensure maternal and neonatal safety, and the clinical efficacy is more exact.

关 键 词：HBV 妊娠结局 护理干预 

分 类 号：R246.3[医药卫生—针灸推拿学]