乔丽梅

doi：10.3969/j.issn.1007-614x.2014.2.22

摘 要 目的：探讨产科中妊娠合并乙型肝炎的临床处理方法，并对其处理效果进行分析。方法：收治妊娠孕妇100例，根据其是否患有乙型肝炎，将其分为数量相等的两组，分别作为观察组与对照组，对照组中孕妇全部健康，观察组中孕妇患有乙型肝炎。对照组中孕妇在进行分娩时利用常规方法来进行处理，观察组中孕妇在对照组的基础上再接受综合治疗，在完成分娩之后，对两组孕妇的分娩情况以及新生儿情况进行观察比较。结果：在分娩完成之后，对两组孕妇的分娩情况进行观察，两组孕妇的足月率及早产率分别80.0%、20.0%与84.0%、16.0%，两组之间无显著差异存在。对观察组中的新生儿情况进行观察，无1例出现乙肝病毒感染。结论：对于妊娠合并乙型肝炎的孕妇，利用综合治疗护理，能够使其安全完成分娩，并且足月率及早产率与正常孕妇之间不存在显著差异，可以有效降低新生儿的乙肝病毒感染率，是一种十分有效的方法。

关键词 妊娠 乙型肝炎 临床治疗

The diagnosis and treatment of obstetrics with hepatitis B

Qiao Limei

The gynaecology and obstetrics of maternal and child care service centre in Lanping County，Nujiang State，Yunnan Province，671400

Abstract Objective：To investigate the clinical treatment method of pregnancy with hepatitis B in obstetrics department，and analysis the treatment effect.Methods：To admit 100 cases of pregnant women，according to whether they have hepatitis B，will be divided into two groups of equal number，respectively as the observation group and the control group，the pregnant women in the control group were healthy，the pregnant women in the observation group had hepatitis B.In the control group，pregnant women in childbirth were gived conventional treatment methods，on the basis of the control group.the pregnant women of the observation group accepted comprehensive treatment.After completing the delivery，to observe and compare the delivery and neonatal situation of the two groups.Results：After completing the delivery，to observe delivery situation of the two groups，the term rate and the preterm birth rate of pregnant woman in the two groups respectively were 80.0%、20.0% and 84.0%、16.0%，there was no significant difference between two groups of patients.To observe the newborns situation of the observation group，no 1 case of hepatitis B virus infection.Conclusion：For pregnant women with hepatitis B，using comprehensive therapy，can make its safe delivery，and the term rate and the preterm birth rate have no significant difference between pregnant women with hepatitis B and normal pregnant women，can effectively reduce the neonatal hepatitis B virus infection rate，is a very effective method，is worthy of promotion in clinical.

Key words Pregnancy；Hepatitis B；Clinic treatment

妊娠合并乙型肝炎会造成宫内胎儿发育比较迟缓甚至死胎，还会导致孕妇产后出血，另外还会导致新生儿死亡以及母婴之间垂直传播，对母婴生命健康会带来严重威胁[1]。本文选择曾于我院进行治疗的妊娠合并乙型肝炎的孕妇50例，对其利用综合治疗方法进行处理，并将其与正常妊娠孕妇分娩情况进行比较，现报告如下。

资料与方法

收治妊娠期孕妇100例，这些孕妇共分为两组，其中一组为健康孕妇50例，将其作为对照组，另外一组孕妇合并有乙型肝炎50例，将其作为观察组。……