当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
25期
158-159
,共2页
黄美虹%许幼仕%许荣海%傅清流
黃美虹%許幼仕%許榮海%傅清流
황미홍%허유사%허영해%부청류
传染病%艾滋病病毒抗体%丙肝抗体%乙肝表面抗原%梅毒
傳染病%艾滋病病毒抗體%丙肝抗體%乙肝錶麵抗原%梅毒
전염병%애자병병독항체%병간항체%을간표면항원%매독
Infectious diseases%Human immunodeifciency virus antibody%Hepatitis c antibody%Hepatitis B surface antigen%Syphilis
目的了解孕妇近5年血液4种常规检查传染病的感染状态及检测情况，以便对检测结果呈阳性的孕妇应用药物治疗或及时采取必要的优生指导和措施，从而降低胎儿宫内感染的发生率。方法应用酶联免疫法(ELISA)检测孕妇血清乙肝表面抗原(HBsAg)、丙肝抗体(HCVAb)、艾滋病病毒抗体(HIV)，梅毒检测应用梅毒螺旋体颗粒凝集试验(TpPA)或甲苯胺红不加热血清试验(TRUST)。结果2008年HIVAb阳性率0%、HCVAb 0％、HBsAg阳性率18.66％、TpPA(或TRUST)0.48％；2009年HIVAb阳性率0.017%、HCVAb 0％、HBsAg阳性率12.16％TpPA(或TRUST)0.40％；2010年HIVAb阳性率0.016%、HCVAb 0.09％、HBsAg阳性率12.49％、TpPA(或TRUST)2.31％；2011年HIVAb阳性率0%、HCVAb 0.04％、HBsAg阳性率12.93％、TpPA(或TRUST)1.63％；2012年HIVAb阳性率0%、HCVAb 0.02％、HBsAg阳性率13.45％、TpPA(或TRUST)1.48％。结论加强育龄妇女孕前、孕早期自我保健水平及健康教育，提高她们的卫生知识和对传染病的防治意识，在孕前、孕早期应对传染病进行常规性筛查，一经发现异常，应及时避孕或根据临床症状适时终止妊娠，切断母婴垂直传播，对优生优育及提高人口素质都有积极的重大意义。
目的瞭解孕婦近5年血液4種常規檢查傳染病的感染狀態及檢測情況，以便對檢測結果呈暘性的孕婦應用藥物治療或及時採取必要的優生指導和措施，從而降低胎兒宮內感染的髮生率。方法應用酶聯免疫法(ELISA)檢測孕婦血清乙肝錶麵抗原(HBsAg)、丙肝抗體(HCVAb)、艾滋病病毒抗體(HIV)，梅毒檢測應用梅毒螺鏇體顆粒凝集試驗(TpPA)或甲苯胺紅不加熱血清試驗(TRUST)。結果2008年HIVAb暘性率0%、HCVAb 0％、HBsAg暘性率18.66％、TpPA(或TRUST)0.48％；2009年HIVAb暘性率0.017%、HCVAb 0％、HBsAg暘性率12.16％TpPA(或TRUST)0.40％；2010年HIVAb暘性率0.016%、HCVAb 0.09％、HBsAg暘性率12.49％、TpPA(或TRUST)2.31％；2011年HIVAb暘性率0%、HCVAb 0.04％、HBsAg暘性率12.93％、TpPA(或TRUST)1.63％；2012年HIVAb暘性率0%、HCVAb 0.02％、HBsAg暘性率13.45％、TpPA(或TRUST)1.48％。結論加彊育齡婦女孕前、孕早期自我保健水平及健康教育，提高她們的衛生知識和對傳染病的防治意識，在孕前、孕早期應對傳染病進行常規性篩查，一經髮現異常，應及時避孕或根據臨床癥狀適時終止妊娠，切斷母嬰垂直傳播，對優生優育及提高人口素質都有積極的重大意義。
목적료해잉부근5년혈액4충상규검사전염병적감염상태급검측정황，이편대검측결과정양성적잉부응용약물치료혹급시채취필요적우생지도화조시，종이강저태인궁내감염적발생솔。방법응용매련면역법(ELISA)검측잉부혈청을간표면항원(HBsAg)、병간항체(HCVAb)、애자병병독항체(HIV)，매독검측응용매독라선체과립응집시험(TpPA)혹갑분알홍불가열혈청시험(TRUST)。결과2008년HIVAb양성솔0%、HCVAb 0％、HBsAg양성솔18.66％、TpPA(혹TRUST)0.48％；2009년HIVAb양성솔0.017%、HCVAb 0％、HBsAg양성솔12.16％TpPA(혹TRUST)0.40％；2010년HIVAb양성솔0.016%、HCVAb 0.09％、HBsAg양성솔12.49％、TpPA(혹TRUST)2.31％；2011년HIVAb양성솔0%、HCVAb 0.04％、HBsAg양성솔12.93％、TpPA(혹TRUST)1.63％；2012년HIVAb양성솔0%、HCVAb 0.02％、HBsAg양성솔13.45％、TpPA(혹TRUST)1.48％。결론가강육령부녀잉전、잉조기자아보건수평급건강교육，제고저문적위생지식화대전염병적방치의식，재잉전、잉조기응대전염병진행상규성사사，일경발현이상，응급시피잉혹근거림상증상괄시종지임신，절단모영수직전파，대우생우육급제고인구소질도유적겁적중대의의。
Objective To understand the infection status of four kinds of infectious diseases detected the blood of the pregnant women in our hospital in recent ifve years, in order to treat the pregnant women with positive detection results by drugs and take necessary guidance for eugenics, reduce the incidence of fetal intrauterine infection.Methods Enzyme-linked immunosorbent assay(ELISA)was used to detect four items of human immunodeficiency virus(HIV)antibody,hepatitis C antibody(HCVAb),and hepatitis B surface antigen(HBsAg).With the method of TpPA or TRUST to detect treponema pallidum. Results The positive rates of HIVAb,HCVAb,HBSAg,TpPA(or TRUST) in 2008 were seperatedly 0%, 0%, 18.66%,TpPA 0.48%,while the positive rates of same items in 2009 were separately 0.017%, 0%, 12.16%, 0.40%,and separately 0.016%, 0.09%, 12.49%, 2.31%in 2010,0%, 0.04%, 12.93%, 1.63%in 2011,and 0%, 0.02%, 13.45%, 1.48%in 2012. Conclusion The self health care levels and health education levels among the women of childbearing age should be strengthened during pregestational period and the ifrst trimester of pregnancy,their health knowledge and consciousness about prevention,infectious diseases should be screened regularly during pregestational period and the ifrst trimester of pregnancy,timely contraception and termination of pregnancy according to clinical symptoms should be conducted when abnormal conditions are found;cutting the vertical transmission from mothers to infants and preventing the occurrence of intrauterine infection have active and important signiifcances for eugenics and improving the quality of population,infectious disease inspections to pregnant women are gradually improved in our hospital.
