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多民族地区孕产妇乙肝感染情况流行病学特征分析

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目的 了解多民族地区孕产妇乙肝病毒感染流行病学特征.方法 收集为期半年住院分娩的2 138例孕产妇产检信息、住院资料和问卷调查资料,分析孕产妇乙肝病毒感染流行病学特征和相关影响因素.结果 住院分娩孕产妇2 138例,乙型肝炎病毒阳性孕产妇192例,孕产妇HBsAg、anti-HBs、HBeAg、anti-HBe、anti-HBc阳性率分别为8.98%、57.62%、2.25%,20.16%,38.17%,5项HBV血清学标志物主要有5种组合模式;年龄、孕次、产次、乙肝疫苗接种、农村户籍、学历是孕产妇乙肝病毒感染的影响因素,差异有统计学意义(P<0.05).结论 多民族聚居地区乙肝感染阳性孕产妇具有低学历、农村户籍、多产次、多胎次、高龄孕妇等特征,应对此类人群采取有针对性措施,保障育龄妇女生殖健康.
Epidemiological characteristics of hepatitis B virus infection among pregnant women in multi-ethnic areas
Objective To explore the epidemiological characteristics of hepatitis B virus(HBV)infection among pregnant women in multi-ethnic areas.Methods Data were collected from 2 138 pregnant women who delivered in the hospital over a six-month period.The information gathered included prenatal check-up records,hospitalization data,and questionnaire survey responses.An analysis of the epidemiological characteristics of HBV infection among pregnant women and the related influencing factors were analyzed.Results Of the 2 138 hospitalized pregnant women,192 tested positive for HBV.The positive rates for HBsAg,anti-HBs,HBeAg,anti-HBe and anti-HBc were 8.98%,57.62%,2.25%,20.16%and 38.17%,respectively,with five main combinations of these five HBV serologic markers identified.Age,number of pregnancies,number of childbirths,hepatitis B vaccination status,rural household registration and educational background were found to be significant factors influencing HBV infection among pregnant women(P<0.05).Conclusion Preg-nant women with HBV infection in multi-ethnic areas tend to have characteristics such as low educational at-tainment,rural household registration,multiple pregnancies,multiple childbirths,and advanced maternal age.Targeted measures should be taken to protect the reproductive health of women of childbearing age in these re-gions.

hepatitis B viruspregnant womenepidemic characteristics

苏磊静、陆兆华、庞智东、李德富、梁晓丽、陈宁

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广西南宁市妇幼保健院妇幼健康和计划生育服务部,广西 南宁 530022

广西南宁市第六人民医院办公室,广西 南宁 530001

广西南宁市妇幼保健院医务部,广西 南宁 530022

乙型肝炎病毒 孕产妇 流行特征

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(3)