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乙型肝炎病毒母婴传播影响因素的研究进展

Research progress of the influence factors on hepatitis B virus mother-infant transmission

  • 摘要: 乙型肝炎是我国高发疾病之一,而15岁以下儿童乙肝感染主要来自于母婴传播,研究表明95%以上的乙肝母婴传播可通过接种乙肝疫苗和乙肝免疫球蛋白阻断传播,获得较高的收益和社会效益。然而,仍有10%~30%乙肝表面抗原阳性孕产妇母婴阻断失败且原因尚不明确,其相关影响因素的报道缺乏普遍共识。本文通过文献回顾法,对孕妇乙肝感染状态、母血中乙肝病毒载量、分娩方式、婴儿喂养方式、特殊新生儿以及母婴阻断项目实施情况等影响乙肝母婴传播的相关因素进行综述,以期为乙肝母婴阻断研究提供参考。

     

    Abstract: Hepatitis B virus was prevalence in China; most children under 15 years old suffered it by mother-to-infant transmission (MTCT). Researches showed that vaccinating hepatitis B vaccine and Hepatitis B hyper-immune globulin (HBIg) could interrupt 95%MTCT. Though there were 10%~30% of HBs Ag (+) pregnant women blocking MTCT failed. The failing reasons and influence factors were not clear. This study summarized relating factors including pregnant women infection status, HBV-DNA in mothers' blood, delivery way, infant feeding way, special infant, implementation of National Integrated Prevention of Mother-to-infant Transmission of HIV, Syphilis and HBV (i PMTCT), and expected to provide references for latter study on integrating MTCT of HBV.

     

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