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父亲与新生儿乙型肝炎病毒传播感染方式调查

Investigation on paternal-fetal transmission of hepatitis B virus in neonates

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【作者】 周小辉王莹于桂琴曾荔苹张凌凌黄恬

【Author】 ZHOU Xiaohui,WANG Ying,YU Guiqin,et al.Department of Infectious Diseases,the First Affiliated Hospital,Medical College,Santou University(Shantou 515041,China)

【机构】 汕头大学医学院第一附属医院感染科汕头大学医学院第二附属医院汕头大学医学院第二附属医院 广东汕头515041广东汕头515041

【摘要】 目的了解乙型肝炎病毒(HBV)感染父亲的新生儿群体中,HBV的感染和流行情况。方法筛选230名慢性HBV感染的父亲而母亲则无乙型肝炎病毒标志物(HBVM)的新生儿为研究对象,进行HBVM测定,另一组父母均无HBV感染标志的新生儿为对照组。结果44名新生儿血清HBV DNA阳性(阳性率为19.13%),测其含量为(6.851±2.317),其中40名父亲的血清HBV DNA含量为(7.345±1.572),两者之间经统计学分析无数量上的相关关系。结论HBV感染男性其子代中有较高的HBV感染率,提示HBV可以通过父婴垂直传播方式传染给新生儿。父亲与新生儿血清HBV DNA复制水平无相关性。

【Abstract】 Objective To evaluate the infection and prevalence of hepatitis B virus(HBV) in the neonates whose fathers were chronic HBV carriers. Methods 230 neonates whose fathers were chronic HBV carriers and mothers were negative for any HBV marker were chosen to detect HBV marker(HBVM),40 neonates whose parents were both negative for any HBV marker were controlled. Results The serum HBV DNA of 44 neonates in studied group(19.13%)were detected positive from their umbilical blood whereas those in controlled group had negative for HBVM.The serum HBV DNA were 6.851±2.317(logarithm) in the neonates and 7.345±1.572(logarithm) in their fathers.There was not correlation between the neonates and their fathers in serum HBV DNA levels. Conclusion The HBV infectious rates among the neonates whose fathers are HBV carriers are relatively higher.The hepatitis B virus can be transmitted from the fathers to their neonates vertically.The level of serum HBV replication of fathers with chronic HBV carrier is no correlation with their neonates.

【基金】 广东省卫生厅课题
  • 【文献出处】 中国公共卫生 ,Chinese Journal of Public Health , 编辑部邮箱 ,2006年09期
  • 【分类号】R512.62
  • 【被引频次】7
  • 【下载频次】81
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