2019年凉山州某县住院孕产妇乙肝和丙肝检出情况分析  

Analysis of the detection of hepatitis B and C viruses in hospitalized pregnant and lying-in women in a county of Liangshan Prefecture in 2019

作　　者：王琴[1] 何炜[1] 袁野 彭迎春[1] 沙马红建 刘东翠 钟显飞[1] WANG Qin;HE Wei;YUAN Ye;PENG Ying-chun;SHAMA Hong-jian;LIU Dong-cui;ZHONG Xian-fei(Department of Gastroenterology,Leshan People′s Hospital,Leshan 614000,China)

机构地区：[1]四川省乐山市人民医院消化内科,四川乐山61400 [2]四川省凉山州美姑县人民医院内科,四川凉山616450

出　　处：《中国健康教育》2022年第6期559-563,共5页Chinese Journal of Health Education

摘　　要：目的 了解四川省凉山州美姑县住院孕产妇乙肝和丙肝检出情况及影响因素,为后续开展有针对性干预措施提供科学依据。方法 利用2019年美姑县人民医院住院孕产妇的数据,分析乙肝和丙肝检出情况。结果 本次纳入研究的住院孕产妇共3663人,乙肝和丙肝检出率分别为5.4%(95%CI:4.7~6.2)和0.9%(95%CI:0.6~1.2)。乙肝检出率多因素Logistic回归分析显示:以大于等于40岁年龄段为参照,年龄小于30岁和30~39岁乙肝检出率较低,OR值分别为0.237(95%CI:0.152~0.370)、0.294(95%CI:0.198~0.437);以自费为参照,精准扶贫和医疗保险乙肝检出率较低,OR值分别为0.394(95%CI:0.228~0.679)、0.456(95%CI:0.272~0.766);以HIV阴性为参照,HIV阳性者乙肝检出率较高,OR值为2.134(95%CI:1.235~3.689)。丙肝检出率Logistic回归分析显示:以HIV阴性为参照,HIV阳性者丙肝检出率较高,OR值为24.555(95%CI:12.143~49.653)。结论 乙肝在美姑县孕产妇中为中度流行,丙肝感染情况严重,需引起政府相关部门的重视,应加强乙肝和丙肝等防治相关的健康教育,监测孕产妇乙肝和丙肝感染情况,发现后及时开展规范治疗和有效的母婴阻断。Objective To understand the detection and risk factors of hepatitis B viruses(HBV) and hepatitis C viruses(HCV) in hospitalized pregnant and lying-in women in Meigu County,Liangshan Prefecture,Sichuan Province,and to provide scientific reference for follow-up targeted intervention measures.Methods Data of hospitalized pregnant and lying in women in Meigu County People′s Hospital in 2019 were used to analyze the status of HBV and HCV detection.Results A total of 3663 hospitalized pregnant and lying-in women were included in this study.The detection rate of HBV and HCV were 5.4%(95%CI:4.7-6.2) and 0.9%(95%CI:0.6-1.2),respectively.Multivariate Logistic regression analysis showed that the positive rate of HBV in pregnant and lying-in women aged less than 30 and 30-39 years oldwas lower than that in pregnant and lying in women over 40 years old,with OR values of 0.237(95%CI:0.152-0.370) and 0.294(95%CI:0.198-0.437).The positive rate of HBV of pregnant and lying-in women who enjoyed targeted poverty alleviation and held medical insurance were lower than that of pregnant women who paid at their own expense,with OR values of 0.394(95%CI:0.228-0.679) and 0.456(95%CI:0.272-0.766),respectively.The positive rate of HBV in HIV-positive pregnant and lying-in women was higher than that in HIV-negative pregnant women,with the OR valueof 2.134(95%CI:1.235-3.689).The positive rate of HCV in HIV-positive pregnant women was higher than that in HIV-negative pregnant women,with the OR value of 24.555(95%CI:12.143-49.653).Conclusion The infection of HBV was moderately prevalent in pregnant women in Meigu County,and the infection of HCV was serious,which should be paid attention to by relevant departments.Health education related to prevention and treatment of HBV and HCV infectionshould be strengthened,the infection of HBV and HCV in pregnant and lying-in women should be monitored,and standardized treatment and effective mother-to-child block should be carried out in time.

关 键 词：乙肝 丙肝 孕产妇 检出率 美姑县 

分 类 号：R193[医药卫生—卫生事业管理]