婚检与孕检医学检查中艾滋病、梅毒、乙型肝炎对比研究  

Comparative study on HIV/AIDS,syphilis and hepatitis B in pregnancy examination and premarital check-up

作　　者：胡桃艳 袁黎晖 章建红 邱飞君 邵桂芳 HU Taoyan;YUAN Lihui;ZHANG Jianhong;QIU feijun;SHAO Guifang(Department of Clinical Laboratory,Beilun District Xiaogang Hospital of Ningbo,Ningbo 315200,Zhejiang,China;Department of Clinical Laboratory Yuyao Maternal and Child Health Care Hospital,Ningbo 315400,Zhejiang,China;Department of Clinical Laboratory,Deqing Hospital of Traditional Chinese Medicine,Huzhou 313216,Zhejiang,China;Department of Obstetrics and Gynecology,Beilun District Xiaogang Hospital of Ningbo,Ningbo 315200,Zhejiang,China;Department of Gynecology,Ninghai Branch,The Obstetrics and Gynecology Hospital Affiliated to Zhejiang University Medical College,Ningbo 315600,Zhejiang,China)

机构地区：[1]宁波市北仑区小港医院检验科,浙江宁波315200 [2]余姚市妇幼保健所检验科,浙江宁波315400 [3]德清县中医院检验科,浙江湖州313216 [4]宁波市北仑区小港医院妇产科,浙江宁波315200 [5]浙江大学医学院附属妇产科医院宁海分院妇科,浙江宁波315600

出　　处：《中国性科学》2018年第3期75-77,共3页Chinese Journal of Human Sexuality

基　　金：浙江省宁波市医学科技计划项目(2013A37)

摘　　要：目的:研究婚检及孕检艾滋病、梅毒、乙型肝炎检出情况及其规律。方法:对我院2012年至2016年婚检及孕检资料进行回顾性分析,比较各年度婚检及孕检艾滋病、梅毒、乙型肝炎检出情况,总结其内在规律。结果:HBs Ag阳性婚检检出率较高,达到16.5‰。男性检出率达到28.6‰,高于女性的17.2‰,差异具有统计学意义(P<0.05)。梅毒阳性率和艾滋病阳性率较低,5年检测梅毒仅检出8例,艾滋病阳性仅有1例。孕检HBs Ag阳性检出率达到23.6‰,孕检梅毒阳性4例,艾滋病阳性1例,与婚检指标比较差异无统计学意义(P>0.05)。结论:婚检和孕检对于防治艾滋病、梅毒、乙型肝炎等疾病均具有不可替代的作用,不应被忽视和撤除,应严格按照婚检及孕检要求,将艾滋病、梅毒、乙型肝炎纳入到婚检及孕检项目。把握关键环节,通过深入开展基层医疗保健宣教,从提高认识和掌握防病手段两个方面入手,有效的控制夫妻和母婴传染病传播。Objectives:To study the status of HIV/AIDS,syphilis and hepatitis B in pregnancy examination and premarital check-up.Methods:The retrospective analysis of pregnancy examination and premarital check-up data in our hospital from 2012 to 2016 was carried out.The seizure situation of HIV/AIDS syndromes,syphilis and hepatitis B were compared.Results:In premarital check-up,the positive rate of HBsAg was as high as 16.5‰.The detection rate of male was 28.6‰,which was higher than that of female(17.2‰),with statistically significant difference(P<0.05).Syphilis positive rate and positive rate of AIDS were low.Only 8 cases of syphilis and 1 case of AIDS were detected in 5 years.In pregnancy examination,the positive rate of HBsAg was 23.6‰,and there were 4 cases of syphilis and 1 case of AIDS detected.There was no significant difference between pregnancy examination and premarital check-up.Conclusion:Pregnancy examination and premarital check-up have an irreplaceable role in the prevention and treatment of AIDS,syphilis,hepatitis B and other diseases,which should not be ignored and removed,and should be in strict accordance with the requirements that AIDS,syphilis and hepatitis B test should be included in pregnancy examination and premarital check-up items.Through the in-depth development of primary health care mission,the awareness and mastery of disease prevention can be strengthened,and husband and wife and mother and child infectious diseases spread can be controlled.

关 键 词：婚检 孕检 艾滋病 梅毒 乙型肝炎 

分 类 号：R512.91[医药卫生—内科学]