2014—2017年上海市宝山区孕产妇HBV感染及新生儿疫苗接种情况  

Pregnant women′s HBV infection and newborns′ vaccination of hepatitis B vaccine and BCG vaccine in Baoshan,Shanghai in 2014-2017

作　　者：张迈月 尹纯礼 朱奇[1] 杨佳平[1] 朱江[1] 赵世莹[1] 李晓军[1] ZHANG Mai-yue;YIN Chun-li;ZHU Qi;YANG Jia-ping;ZHU Jiang;ZHAO Shi-ying;LI Xiao-jun(Baoshan District Center for Disease Control and Prevention,Shanghai 201901,China)

机构地区：[1]上海市宝山区疾病预防控制中心,上海201901

出　　处：《上海预防医学》2019年第4期270-273,共4页Shanghai Journal of Preventive Medicine

摘　　要：【目的】分析上海市宝山区孕产妇乙型肝炎表面抗原(HBsAg)阳性率及新生儿疫苗接种情况,为制定新生儿乙肝和儿童结核病防治策略提供依据。【方法】以2014—2017年宝山区所有产院的孕产妇及新生儿为观察对象,分析孕产妇HBsAg检测情况及阳性率,以及新生儿乙肝疫苗和卡介苗接种情况。【结果】共调查孕产妇38 842人,HBsAg阳性率为4.91%,本市户籍与非本市户籍孕产妇HBsAg检测率及HBsAg阳性率差异均有统计学意义(P<0.01);新生儿乙肝疫苗接种率为94.83%,HBsAg阳性孕产妇的新生儿联合免疫接种率93.65%,卡介苗接种率为87.53%,乙肝疫苗和卡介苗未接种的最主要原因分别为体重未达标和认为是非传染性疾病。【结论】上海市宝山区孕产妇HBsAg阳性率低于全国水平,但孕产妇HBsAg检测率和卡介苗接种率有待提高;产院应正确把握禁忌证开展新生儿免疫接种程序;同时协同社区卫生服务中心、妇幼保健机构等多部门加强健康教育、建立联合保障机制。[Objective] To analyze the maternal positive rate of HBsAg and the neonatal immunization in Baoshan District of Shanghai,in order to provide evidence of formulating strategies for prevention and treatment of hepatitis B and childhood tuberculosis. [Methods] Subjects in all obstetric institutions of Baoshan District from 2014 to 2017 were collected. Both the pregnant women′s HBV infection and newborns′ vaccination rates of hepatitis B vaccine and BCG vaccine were analyzed. [Results] The positive rate of HBsAg was 4.91% in 38 842 pregnant women.There was significant difference in the detection rate and positive rate of HBsAg between registered and non-registered pregnant women(P<0.01).The vaccination rates of hepatitis B in newborns were 94.83%.The combined immunization rate in newborns of HBsAg-positive pregnant women was 93.65%;The vaccination rates of BCG vaccine in newborns were 87.53%;The main causes of untimely vaccination were low body weight and non-communicable diseases. [Conclusion] The positive rate of HBsAg among pregnant women in Baoshan District of Shanghai is lower than that of the national level.But the detection rate of HBsAg pregnant women and the vaccination rates of BCG vaccine in newborns need to be improved.Obstetrical institutions should carry out timely vaccination for newborns and know well contraindication correctly.In addition,obstetric institutions should establish joint education and guarantee mechanism with community healthcare service,maternity and child healthcare hospital and other relevant departments.

关 键 词：孕产妇 新生儿 乙肝疫苗 卡介苗 

分 类 号：R179[医药卫生—妇幼卫生保健]