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婴儿乙型肝炎e抗原与母亲乙型肝炎e抗原的关系及其清除时间
作者:白淑芬 杨立新 吴岷岷  
单位:东南大学附属第二医院 妇产科
关键词:HBeAg值 肝炎 乙型 婴儿 
分类号:
出版年·卷·期(页码):2011·39·第二期(186-189)
摘要:

[摘要] 目的 了解婴儿乙型肝炎e抗原(HBeAg)与其母亲HBeAg的关系,以及HBeAg在婴儿体内的清除情况。方法 从2008年3月至2009年12月在东南大学附属第二医院妇产科住院分娩妊娠妇女中,选择乙型肝炎表面抗原(HBsAg)阳性孕妇98例,其中HBsAg单阳者27例,HBsAg、HBeAg双阳者71例,其对应的婴儿98例,婴儿出生时乙型肝炎病毒脱氧核糖核酸(HBV DNA)及HBsAg均为阴性,观察婴儿HBeAg与目前的关系及清除情况。结果 双阳者71例孕妇所生婴儿中65例HBeAg阳性,HBeAg阴性孕妇所生婴儿HBeAg均阴性。HBeAg阳性婴儿出生时的HBeAg平均值为126.78 S/co,1月龄的HBeAg平均值为14.93 S/co,较出生时下降了88.22%,2月龄时HBeAg平均值为3.80 S/co,较1月龄时下降74.55%,较出生时下降了97.00%,7月龄时HBeAg平均值为0.59S/co,达到阴性水平;出生时HBeAg阳性婴儿的HBeAg平均值与其母亲HBeAg平均值呈正相关(R=0.512,F=34.07,P=0.000)。结论 婴儿出生时HBeAg值与母亲产前HBeAg值呈正相关,考虑为母源性;婴儿体内的母源性HBeAg能够迅速清除,婴儿出生一个月内清除速率快,7月龄时母源性HBeAg基本清除,转阴率为90.77%(59/65)。

Abstract: Objects to study the correlation of infants’ HBeAg and mothers’ HBeAg as well as the clearance condition of mother-to-infant’s HBeAg. Methods 98cases of HBsAg mothers who delivered from MAR, 2008 to DEC, 2010 in Nanjing Second Hospital were chosen , of which 27 cases with HBeAg negative and 71 cases with HBeAg positive. 98 cases of corresponding infants are with negative HBVDNA quantity and HBsAg. The correlation of infants’ HBeAg from birth to present and clearance condition should be observed. Results 71 cases of mothers with HBeAg positive gave birth to 65 cases of infants with HBeAg positive, while mothers with HBeAg negative gave birth to the corresponding infants all with HBeAg negative. The average quantity of maternal HBeAg of infant with HBeAg positive at the birth time was 126.78 S/co; at one-month age was14.93 S/co, which declined by 88.22%; at two months’ age was 3.80 S/co, which declined by 74.55% than one-month age and declined by 97.00% than birth time; at seven-month age was 0.59S/co, which declined to negative; the positive correlation of average HBeAg quantity between infants with HBeAg positive at the birth and their mothers were confirmed(R=0.512,F=34.07), P=0.000. Conclusion HBeAg quantity of infants at the birth time which positively correlated to mothers’ HBeAg quantity before delivery was considered to be maternal; it could be cleared quickly, the clearance rate within first month was fast, and it almost cleared up at seven-month age, which accounted for 90.77%(59/65) .

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