东莞市孕妇乙型肝炎、梅毒、艾滋病筛查结果分析  

An Analysis of the Results of Hepatitis B,Syphilis and AIDS in Pregnant Women in Dongguan City

作　　者：潘海恩 钟庆杨 唐艳琴 PAN Hai-en;ZHONG Qing-yang;TANG Yan-qin(Department of Infectious Disease,the Ninth People’s Hospital of Dongguan City;Department of Infection Control,the Eighth People’s Hospital of Dongguan City,Dongguan 523000,China)

机构地区：[1]东莞市第九人民医院感染科 [2]东莞市第八人民医院院感科,广东东莞523000

出　　处：《实用临床医学（江西）》2020年第8期89-91,共3页Practical Clinical Medicine

摘　　要：目的了解东莞市孕妇乙型肝炎(乙肝)、梅毒和艾滋病3种传染病发生情况,为防控措施制定提供依据。方法回顾性分析东莞市第八人民医院2017年1月1日至2018年12月31日产科产检的12054例孕妇乙肝、梅毒和艾滋病传染病检查数据。结果检出HBsAg阳性者共1115例(9.25%),2017年、2018年分别为642例(10.18%)、473例(8.23%)(二者比较差异有统计学意义,P<0.05),其中1992年以前出生HBsAg阳性者820例(10.1%)、1992年及以后出生HBsAg阳性者295例(7.5%)(二者比较差异有统计学意义,P<0.05);检出梅毒阳性者67例(0.56%),2017年、2018年分别为32例(0.51%)、35例(0.61%)(二者比较差异无统计学意义,P>0.05);检出艾滋病阳性者3例(0.02%),2017年、2018年分别为1例(0.02%)、2例(0.03%)(二者比较差异无统计学意义,P>0.05)。结论东莞市孕妇3种传染病中,乙肝阳性率最高,梅毒阳性率第二,艾滋病阳性率最低,2018年与2017年比较,HBsAg阳性率有降低,仍高于国内其他地区,梅毒、艾滋病阳性率较前无明显变化,提示乙肝母婴阻断工作仍需要加强,针对梅毒、艾滋病,还需加强其他感染途径的控制。Objective To understand the prevalence of hepatitis B,syphilis and AIDS among pregnant women in Dongguan,and to provide a basis for the formulation of prevention and control measures.Methods A retrospective analysis was made on 12054 pregnant women who underwent screening for hepatitis B,syphilis and AIDS in the Eighth People’s Hospital of Dongguan from January 1,2017 to December 31,2018.Results A total of 1115 HBsAg-positive cases(9.25%)were detected,and the HBsAg-positive rate in 2017(10.18%,642 cases)was higher than that in 2018(8.23%,473 cases)(P<0.05).Furthermore,the number of HBsAg-positive pregnant women born before 1992(820,10.1%)was higher than that of those born after 1992(295,7.5%)(P<0.05).Totally 67 cases of syphilis(0.56%)were found,including 32 cases(0.51%)found in 2017 and 35 cases(0.61%)found in 2018.Three cases of AIDS(0.02%)were detected,including 1 case(0.02%)detected in 2017 and 2 cases(0.03%)detected in 2018.There were no significant differences in the incidence of syphilis and AIDS between 2017 and 2018(P>0.05).ConclusionOf the three infectious diseases,the prevalence of hepatitis B was the highest and that of AIDS was the lowest among pregnant women in Dongguan.Compared with 2017,the positive rate of HBsAg decreased in 2018,but was still higher than that in other regions.There was no significant change in the prevalence of syphilis and AIDS from 2017 to 2018,suggesting that it was necessary to strengthen mother-to-child blocking of hepatitis B virus and the control of syphilis and AIDS infection pathways.

关 键 词：孕妇 乙型肝炎 梅毒 艾滋病 筛查 

分 类 号：R184.6[医药卫生—流行病学]