CAJ | 학술논문

目的：探讨乙肝病毒(HBV)携带产妇分娩期预防母婴传播的护理方法和效果，为临床实践提供依据。方法整群选取2013年1月-2015年1月在该院阴道分娩的320例乙肝表面抗原阳性的孕产妇，分为观察组和对照组各160例。观察组采用无保护接生技术、减少会阴侧切率、改良脐带处理等措施，对照组采用常规护理模式，对两组新生儿产时感染率进行比较。结果观察组产时感染率为10.63%，对照组产时感染率为20.00%，两组比较差异有统计学意义(P<0.05)。结论对HBV携带产妇分娩期改进护理干预措施，能有效降低HBV产时母婴传播的风险。
목적：탐토을간병독(HBV)휴대산부분면기예방모영전파적호리방법화효과，위림상실천제공의거。방법정군선취2013년1월-2015년1월재해원음도분면적320례을간표면항원양성적잉산부，분위관찰조화대조조각160례。관찰조채용무보호접생기술、감소회음측절솔、개량제대처리등조시，대조조채용상규호리모식，대량조신생인산시감염솔진행비교。결과관찰조산시감염솔위10.63%，대조조산시감염솔위20.00%，량조비교차이유통계학의의(P<0.05)。결론대HBV휴대산부분면기개진호리간예조시，능유효강저HBV산시모영전파적풍험。
Objective To explore the method and effect of nursing for preventing the maternal-infant transmission of hep-atitis B virus(HBV) in HBV carriers during the delivery so as to provide reference for clinical practice. Methods 320 preg-nant women with positive hepatitis B virus surface antigen underwent vaginal delivery in our hospital from January 2013 to January 2015 were selected and divided into the observation group and the control group with 160 cases in each. The ob-servation group used unprotected perineum delivery technique, reduction of the perineal side incision rate and improved management for umbilical cord, while the control group adopted the conventional nursing. And the infection rate of HBV during delivery was compared between the two groups of neonates. Results The rate of infection of HBV during delivery was much lower in the observation group than that in the control group(10.63%vs 20.00%), the difference was statistically significant (P<0.05). Conclusion Improved nursing intervention can effectively reduce the risk of maternal-fetal transmission of HBV during the delivery in HBV-carrying puerperants.