摘要
病毒性肝炎是由多种肝炎病毒引起的常见传染病,主要包括甲、乙、丙、丁、戊型,其中乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)感染更为常见,是肝硬化、肝细胞癌的重要病因之一。在妊娠情况下,必须考虑妊娠与病毒感染的相互影响,包括病毒对胎儿发育的影响、对母体健康的影响及妊娠导致疾病本身进展等,预防母婴传播是减轻全球慢性病毒性肝炎负担的关键。2023年9月美国妇产科医师学会(ACOG)发表了《妊娠期病毒性肝炎临床实践指南》,取代了2007年版本,依据证据质量分级和推荐强度系统(GRADE),该指南提出了6个方面的建议。该文对指南的重要推荐更新进行逐一解读,以期为妊娠期病毒性肝炎的临床实践提供帮助。
Viral hepatitis is a common infectious disease caused by a variety of hepatitis viruses,mainly including types A,B,C,D and E,among which hepatitis B virus(HBV)and hepatitis C virus(HCV)infection are more common.It is one of the important causes of liver cirrhosis and hepatocellular carcinoma.In the case of pregnancy,the interaction between pregnancy and viral infection must be considered,including the impact of the virus on fetal development,the impact on maternal health,and the progression of the disease itself caused by pregnancy,among which the prevention of mother-to-child transmission is the key to reducing the global burden of chronic viral hepatitis.In September 2023,the American College of Obstetricians and Gynecologists(ACOG)published the clinical practice guidelines for viral hepatitis in pregnancy,which replaced the 2007 version.According to the Grading of Recommendations Assessment,Development and Evaluation(GRADE),the guidelines put forward six suggestions.This paper interpreted the important recommended updates of the guidelines one by one,in order to provide help for the clinical practice of viral hepatitis during pregnancy.
作者
官军
胡海燕
李俊男
GUAN Jun;HU Haiyan;LI Junnan(Department of Obstetrics,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Obstetrics and Gynecology,the Affiliated Fuling Hospital of Chongqing University,Chongqing 408000,China)
出处
《重庆医学》
CAS
2024年第5期644-650,共7页
Chongqing medicine
基金
国家自然科学基金项目(81671527)。
