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孕妇HPV感染分型及与新生儿感染关系

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目的:探究孕妇人乳头瘤病毒(HPV)感染分型及与新生儿感染关系.方法:选取本院2020年1月 2023年10月产前检查诊断为HPV感染的孕妇100例临床资料,统计孕妇HPV感染分型构成比,检测新生儿HPV感染率及不同分型构成比,根据HPV分型分为高危组、低危组,对比两组孕产妇免疫功能指标及新生儿结局差异.结果:100例HPV感染孕妇,高危型HPV(75.0%)、低危型HPV(25.0%);新生儿HPV感染率为40.0%,高危型HPV(77.5%)、低危型(22.5%);高危组孕妇免疫功能CD3+(44.21±3.45)%、CD4+(30.44±3.14)%水平均低于低危组(56.44±4.12、42.84±3.45)%,早产(28.0%)、胎膜早破(21.3%)、胎儿生长受限(30.7%)及新生儿HPV感染率(46.7%)均高于低危组(8.0%、4.0%、8.0%、20.0%)(均 P<0.05).结论:HPV16、HPV18、HPV52 是孕妇的主要HPV感染高危型,其新生儿HPV感染且感染分型与孕母一致性较高,高危型HPV感染孕妇可能通过免疫失衡增加新生儿不良结局风险.
Correlation between the types of human papillomavirus infection of pregnant women and their neonatal human papilloma-virus infection
Objective:To explore the correlation between the types of human papillomavirus(HPV)infection of preg-nant women and their neonatal HPV infection.Methods:The clinical data of 100 pregnant women diagnosed with HPV infection during antenatal examination from January 2020 to October 2023 were selected in this study.The proportion of the different types of HPV infection of these women was calculated,and the incidence of the neonatal HPV infection and the proportion of the different types of the neonatal HPV infection were counted.These women were divided into group A(women with the high-risk HPV infection)and group B(women with the low-risk HPV infection)according to the HPV typing test results of the women.The differences of the immune function indexes values and the neonatal outcomes of the women were compared between the two groups.Results:Among 100 pregnant women with HPV in-fection,there were 75.0%women with high-risk HPV infection and 25.0%women with low-risk HPV infection.The HPV infection rate of the neonates was 40.0%,which included 77.5%neonates with high-risk HPV infection and 22.5%neonates with low-risk HPV infection.The levels of CD3+(44.21±3.45%)and CD4+(30.44±3.14%)of the women in group A were significantly lower than those(56.44±4.12%and 42.84±3.45%)of the women in group B.The rates of preterm birth(28.0%),premature rupture of membranes(21.3%),fetal growth restriction(30.7%)and neonatal HPV infection rate(46.7%)of the women in group A were all significantly higher than those(8.0%,4.0%,8.0%and 20.0%)of the women in group B(all P<0.05).Conclusion:The high-risk types of HPV infection,such as HPV16,HPV18 and HPV52,are the main HPV infection types of the pregnant women.The neonatal HPV infection of the pregnant women is consistent with their mothers.The pregnant women with high-risk HPV infection may in-crease their risk of the adverse neonatal outcomes because of their immune imbalance.

Pregnant womenNeonateHuman papillomavirus infectionTypingMother-to-fetus transmissionim-mune indictorAdverse outcomes

马倩、李小青、顾丽丽

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浙江省嘉善县妇幼保健院(314100)

浙江省嘉兴市妇幼保健院

孕妇 新生儿 人乳头瘤病毒感染 分型 母婴传播 免疫指标 不良结局

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(6)
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