标题：383名孕妇产前HBV感染现况分析

      作者：王 雄
    (陵水黎族自治县妇幼保健院，海南 陵水 572400)

      卷次： 2012年23卷20期

      【摘要】 目的 了解海南省陵水地区妊娠合并乙型肝炎病毒(HBV)感染的现状，为进一步实施干预措施提
供科学依据。方法 回顾性分析383名海南省陵水县孕妇产前检查的临床资料。结果 调查孕妇的年龄为16~
38岁，孕周为6~42周，初产妇占60.3%，经产妇占39.7 %，总体HBV阳性率为21.4% (82/383)。其中20~29岁年龄
组感染率最高，为23.2%，≥30岁组感染率最低，为8.9%，≥30岁组的HBsAg阳性率与20~29岁和<20岁组比较
差异有统计学意义(P<0.05)。不同孕次、产次、是否有妇科手术史孕妇之间HBV感染率差异无统计学意义(χ2值
分别为0.013、1.288、0.751，P值均大于0.05)。结论 应加强孕妇对乙肝防治知识的健康教育，采取进一步措施降
低新生儿感染乙肝的风险。

      【关键词】 孕产妇；调查；乙肝；感染

      【中图分类号】 R714.25 【文献标识码】 A 【文章编号】 1003—6350（2012）20—112—02<

br>Analysis on infection status of hepatitis B virus of 383 pregnant women.
WANG Xiong. Maternal and Child Health
Hospital of Lingshui, Lingshui 572400, Hainan, CHINA

【Abstract】 Objective To understand the infection status of hepatitis B virus (HBV) in Lingshui area of Hain-
an Province, and to provide scientific evidence for further intervention. Methods The clinical data of 383 pregnant
women in Lingshui were collected for retrospective analysis. Results he surveyed pregnant women were 16~38
years old with gestational age of 6~42 weeks. Among them, the primipara accounted for 60.3% and the maternal ac-
counted for 39.7%. The total HBsAg positive rate was 21.4% (82/383). The 20 to 29-year-old group had the highest
infection rate (23.2%), and the ≥30-year-old group had the lowest infection rate (8.9%). Statistically significant dif-
ferences were found between the≥30-year-old group and the 20 to 29-year-old group, the≥30-year-old group and
the <20-year-old group (P<0.05). No statistically significant difference of HBV infection rate in pregnant women was
found among gravidity, parity or history of (χ2 =0.013, 1.288 and 0.751, P>0.05). Conclusion More health education
of hepatitis B prevention and control should be strengthened in pregnant woman. Further measures should be imple-
mented to reduce the risk of hepatitis B infection in newborns.

      【Key words】 Pregnant woman; Investigation; Hepatitis B; Infection