CAJ | 학술논문

目的：分析探讨分娩方式对乙肝病毒母婴传播的影响。方法选取2011年10月—2013年2月该院的240例HBsAg阳性孕产妇及其新生儿为研究对象，将其根据分别方式分为A组（剖宫产组）120例和B组（阴道顺产组）120例，然后将2组新生儿的HBsAg阳性率、HBV DNA阳性率及抗HBs阳性率进行统计与比较。结果 B组的HBsAg阳性率、HBV DNA阳性率均高于A组，抗HBs阳性率则低于A组，且B组孕产妇中HBsAg阳性和HBsAg、HBeAg阳性者的新生儿HBsAg阳性率、HBV DNA阳性率均高于A组，差异有统计学意义（P＜0.05）。结论剖宫产可有效降低乙肝病毒母婴传播，更为适用于此类产妇。
목적：분석탐토분면방식대을간병독모영전파적영향。방법선취2011년10월—2013년2월해원적240례HBsAg양성잉산부급기신생인위연구대상，장기근거분별방식분위A조（부궁산조）120례화B조（음도순산조）120례，연후장2조신생인적HBsAg양성솔、HBV DNA양성솔급항HBs양성솔진행통계여비교。결과 B조적HBsAg양성솔、HBV DNA양성솔균고우A조，항HBs양성솔칙저우A조，차B조잉산부중HBsAg양성화HBsAg、HBeAg양성자적신생인HBsAg양성솔、HBV DNA양성솔균고우A조，차이유통계학의의（P＜0.05）。결론부궁산가유효강저을간병독모영전파，경위괄용우차류산부。
Objective To analyze and investigate the impact of delivery mode on the mother-to-child transmission of hepatitis B virus. Methods 240 HBsAg-positive pregnant women and their newborns admitted in our hospital from October, 2011 to February, 2013 were selected as the subjects, and they were divided into group A(caesarean section group), 120 cases, and group B(sponta-neous vaginal delivery group),120 cases. Then the HBsAg positive rate, HBV DNA positive rate and anti-HBs positive rate of the newborns in two groups were counted and compared. Results The HBsAg positive rate and HBV DNA positive rate of group B were both higher than those of group A, anti-HBs positive rate was lower than that of group A, and the HBsAg positive rate of the pregnant women and HBsAg positive rate, HBV DNA positive rate of the HBsAg-positive and HBeAg-positive newborns in group B were higher than those of group A, the differences were statistically significant, all P<0.05. Conclusion The caesarean section can effectively control the mother-to-child transmission of hepatitis B virus ,so it is more suitable for these pregnant women.