山东大学学报 (医学版) ›› 2021, Vol. 59 ›› Issue (5): 46-51,67.doi: 10.6040/j.issn.1671-7554.0.2021.0262
摘要:
乙型肝炎病毒(HBV)感染是全球性的公共安全威胁,其导致的慢性乙型肝炎(CHB)、肝硬化、肝癌及肝功能衰竭等严重危害人类生命健康。母婴传播是HBV传播的主要方式之一,通过有效干预阻断HBV的母婴传播对于降低HBV感染率、减轻HBV相关疾病负担具有重要意义。随着我国经济和医疗水平的不断发展,预防HBV母婴传播的措施不断完善,使我国HBV流行率大幅降低。论文就我国预防HBV母婴传播的临床指南和规范进行总结,并对该领域的热点问题和相关进展做一综述。
中图分类号:
1 |
Liu J , Liang W , Jing W , et al. Countdown to 2030: eliminating hepatitis B disease, China[J]. Bull World Health Organ, 2019, 97 (3): 230- 238.
doi: 10.2471/BLT.18.219469 |
2 |
Cui F , Shen L , Li L , et al. Prevention of chronic hepatitis B after 3 decades of escalating vaccination policy, China[J]. Emerg Infect Dis, 2017, 23 (5): 765- 772.
doi: 10.3201/eid2305.161477 |
3 | 中华医学会感染病学分会, GRADE中国中心. 中国乙型肝炎病毒母婴传播防治指南(2019年版)[J]. 中华临床感染病杂志, 2019, 37 (7): 388- 396. |
4 |
中华医学会肝病学分会, 中华医学会感染病学分会. 慢性乙型肝炎防治指南[J]. 中华传染病杂志, 2005, 23 (6): 421- 431.
doi: 10.3760/j.issn:1000-6680.2005.06.021 |
5 |
中华医学会肝病学分会, 中华医学会感染病学分会. 慢性乙型肝炎防治指南(2010年版)[J]. 中华肝脏病杂志, 2011, 19 (1): 13- 24.
doi: 10.3760/cma.j.issn.1007-3418.2011.01.007 |
Chinese Society of Hepatology and Chinese Society of Infectious Diseases , Chinese Medical Association . The guideline of prevention and treatment for chronic hepatitis B (2010 version)[J]. Chinese Journal of Hepatology, 2011, 19 (1): 13- 24.
doi: 10.3760/cma.j.issn.1007-3418.2011.01.007 |
|
6 | 中华医学会肝病学分会, 中华医学会感染病学分会. 慢性乙型肝炎防治指南(2015年版)[J]. 中国肝脏病杂志(电子版), 2015, 7 (3): 1- 18. |
Chinese Society of Hepatology and Chinese Society of Infectious Diseases , Chinese Medical Association . The guideline of prevention and treatment for chronic hepatitis B: a 2015 update[J]. Chinese Journal of Liver Diseases(Electronic Version), 2015, 7 (3): 1- 18. | |
7 |
中华医学会感染病学分会, 中华医学会肝病学分会. 慢性乙型肝炎防治指南(2019年版)[J]. 中华肝脏病杂志, 2019, 27 (12): 938- 961.
doi: 10.3760/cma.j.issn.1007-3418.2019.12.007 |
Chinese Society of Infectious Diseases Chinese Medical Association; , Chinese Society of Hepatology Chinese Medical Association . The guidelines of prevention and treatment for chronic hepatitis B (2019 version)[J]. Chinese Journal of Hepatology, 2019, 27 (12): 938- 961.
doi: 10.3760/cma.j.issn.1007-3418.2019.12.007 |
|
8 |
中华医学会妇产科学分会产科学组, 中华医学会围产医学分会. 乙型肝炎病毒母婴传播预防临床指南(2020)[J]. 中华妇产科杂志, 2020, 55 (5): 291- 299.
doi: 10.3760/cma.j.cn112141-20200213-00101 |
9 | 崔富强, 庄辉. 我国新生儿乙型肝炎母婴阻断成就和展望[J]. 中国病毒病杂志, 2019, 9 (5): 321- 326. |
CUI Fuqiang , ZHUANG Hui . Achievements and prospects for preventing mother-to-child transmission of hepatitis B virus in newborns in China[J]. Chinese Journal of Viral Diseases, 2019, 9 (5): 321- 326. | |
10 |
贾继东, 侯金林, 魏来, 等. 《慢性乙型肝炎防治指南(2019年版)》新亮点[J]. 中华肝脏病杂志, 2020, 28 (1): 21- 23.
doi: 10.3760/cma.j.issn.1007-3418.2020.01.006 |
JIA Jidong , HOU Jinlin , WEI Lai , et al. Highlights of guidelines of prevention and treatment for chronic hepatitis B (2019 version)[J]. Chinese Journal of Hepatology, 2020, 28 (1): 21- 23.
doi: 10.3760/cma.j.issn.1007-3418.2020.01.006 |
|
11 |
European Association for the Study of the Liver . EASL 2017 Clinical Practice Guidelines on the management of hepatitis B virus infection[J]. J Hepatol, 2017, 67 (2): 370- 398.
doi: 10.1016/j.jhep.2017.03.021 |
12 |
Terrault NA , Lok ASF , McMahon BJ , et al. Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance[J]. Hepatology, 2018, 67 (4): 1560- 1599.
doi: 10.1002/hep.29800 |
13 |
周乙华, 李彤, 庄辉. 对《中国乙型肝炎病毒母婴传播防治指南(2019年版)》的商榷[J]. 中华传染病杂志, 2020, 38 (1): 49- 50.
doi: 10.3760/cma.j.issn.1000-6680.2020.01.007 |
14 |
徐陈瑜, 陈廷美. 对《中国乙型肝炎病毒母婴传播防治指南(2019年版)》的若干探讨意见[J]. 肝脏, 2020, 25 (3): 228- 230.
doi: 10.3969/j.issn.1008-1704.2020.03.003 |
15 |
Mugwanya KK , Hendrix CW , Mugo NR , et al. Pre-exposure prophylaxis use by breastfeeding HIV-uninfected women: a prospective short-term study of antiretroviral excretion in breast milk and infant absorption[J]. PLoS Med, 2016, 13 (9): e1002132.
doi: 10.1371/journal.pmed.1002132 |
16 |
Mirochnick M , Taha T , Kreitchmann R , et al. Pharmacokinetics and safety of tenofovir in HIV-infected women during labor and their infants during the first week of life[J]. J Acquir Immune Defic Syndr, 2014, 65 (1): 33- 41.
doi: 10.1097/QAI.0b013e3182a921eb |
17 |
Waitt C , Taha T , Olagunju A , Nakalema S , et al. Plasma and breast milk pharmacokinetics of emtricitabine, tenofovir and lamivudine using dried blood and breast milk spots in nursing African mother-infant pairs[J]. J Antimicrob Chemother, 2018, 73 (4): 1013- 1019.
doi: 10.1093/jac/dkx507 |
18 | 中华医学会肝病学分会. 感染乙型肝炎病毒的育龄女性临床管理共识[J]. 中国病毒病杂志, 2018, 8 (3): 164- 169. |
Chinese Society of Hpatology, Chinese Medical Association , et al. Consensus on the management of hepatitis B virus infection in women of childbearing age[J]. Chinese Journal of Viral Diseases, 2018, 8 (3): 164- 169. | |
19 |
Sakai K , Ueda A , Hasegawa M , et al. Efficacy and safety of interferon alpha for essential thrombocythemia during pregnancy: two cases and a literature review[J]. Int J Hematol, 2018, 108 (2): 203- 207.
doi: 10.1007/s12185-017-2397-8 |
20 |
Sandberg-Wollheim M , Alteri E , Moraga MS , et al. Pregnancy outcomes in multiple sclerosis following subcutaneous interferon beta-1a therapy[J]. Mult Scler, 2011, 17 (4): 423- 430.
doi: 10.1177/1352458510394610 |
21 | Hiratsuka M , Minakami H , Koshizuka S , et al. Administration of interferon-alpha during pregnancy: effects on fetus[J]. J Perinat Med, 2000, 28 (5): 372- 376. |
22 |
Labarga P , Pinilla J , Cachorro I , et al. Infant of 22 months of age with no anomalies born from a HCV- and HIV-infected mother under treatment with pegylated interferon, ribavirin and antiretroviral therapy during the first 16 weeks of pregnancy[J]. Reprod Toxicol, 2007, 24 (3-4): 414- 416.
doi: 10.1016/j.reprotox.2007.07.002 |
23 |
Castillo E , Murphy K , van Schalkwyk J . No. 342-hepatitis B and pregnancy[J]. J Obstet Gynaecol Can, 2017, 39 (3): 181- 190.
doi: 10.1016/j.jogc.2016.11.001 |
24 |
Wu Y , Liu J , Feng Y , et al. Efficacy and safety of antiviral therapy for HBV in different trimesters of pregnancy: systematic review and network meta-analysis[J]. Hepatol Int, 2020, 14 (2): 180- 189.
doi: 10.1007/s12072-020-10026-0 |
25 | Song J , Yang F , Wang S , et al. Efficacy and safety of antiviral treatment on blocking the mother-to-child transmission of hepatitis B virus: a meta-analysis[J]. J Viral Hepat, 2019, 26 (3): 397- 406. |
26 |
Zhang H , Pan CQ , Pang Q , et al. Telbivudine or lamivudine use in late pregnancy safely reduces perinatal transmission of hepatitis B virus in real-life practice[J]. Hepatology, 2014,
doi: 10.1002/hep.27034 |
27 |
Jourdain G , Ngo-Giang-Huong N , Harrison L , et al. Tenofovir versus placebo to prevent perinatal transmission of hepatitis B[J]. N Engl J Med, 2018, 378 (10): 911- 923.
doi: 10.1056/NEJMoa1708131 |
28 |
Pan CQ , Duan Z , Dai E , et al. China study group for the mother-to-child transmission of hepatitis B: tenofovir to prevent hepatitis B transmission in mothers with high viral load[J]. N Engl J Med, 2016, 374 (24): 2324- 2434.
doi: 10.1056/NEJMoa1508660 |
29 |
Li J , Chang MS , Tran TT , et al. Management of chronic hepatitis B in pregnancy[J]. J Clin Gastroenterol, 2017, 51 (9): 789- 795.
doi: 10.1097/MCG.0000000000000908 |
30 |
Brown Jr RS , McMahon BJ , Lok ASF , et al. Antiviral therapy in chronic hepatitis B viral infection during pregnancy: a systematic review and meta-analysis[J]. Hepatology, 2016, 63 (1): 319- 333.
doi: 10.1002/hep.28302 |
31 | Sali S , Darvishi M , GhasemiAdl M , et al. Comparing the efficacy and safety of treating chronic hepatitis B infection during pregnancy with lamivudine, telbivudine, and tenofovir: a Meta-analysis[J]. J Clin Transl Hepatol, 2019, 7 (3): 197- 212. |
32 |
咸建春, 周乙华. 对《中国乙型肝炎病毒母婴传播防治指南(2019年版)》中育龄妇女抗病毒治疗期间意外妊娠推荐意见的评价[J]. 临床肝胆病杂志, 2020, 36 (2): 301- 302.
doi: 10.3969/j.issn.1001-5256.2020.02.010 |
XIAN Jianchun , ZHOU Yihua , et al. Comments on the recommendtions for unintended pregnancy during antiviral therapy in women of childbearing age in 2019 Chinese practice guideline for the prevention of hepatitis B virus mother-to-child transmission[J]. Journal of Clinical Hepatology, 2020, 36 (2): 301- 302.
doi: 10.3969/j.issn.1001-5256.2020.02.010 |
|
33 |
Gu Y , Ru T , Zhou YH , et al. Adefovir as a possible teratogen: evidence from paternal exposure[J]. Dig Liver Dis, 2014, 46 (12): 1134- 1135.
doi: 10.1016/j.dld.2014.08.035 |
34 |
Peng S , Wan Z , Liu T , et al. Cesarean section reduces the risk of early mother-to-child transmission of hepatitis B virus[J]. Dig Liver Dis, 2018, 50 (10): 1076- 1080.
doi: 10.1016/j.dld.2018.05.004 |
35 |
Pan CQ , Zou HB , Chen Y , et al. Cesarean section reduces perinatal transmission of hepatitis B virus infection from hepatitis B surface antigen-positive women to their infants[J]. Clin Gastroenterol Hepatol, 2013, 11 (10): 1349- 1355.
doi: 10.1016/j.cgh.2013.04.026 |
36 |
Yang M , Qin Q , Fang Q , et al. Cesarean section to prevent mother-to-child transmission of hepatitis B virus in China: a meta-analysis[J]. BMC Pregnancy Childbirth, 2017, 17 (1): 303.
doi: 10.1186/s12884-017-1487-1 |
[1] | 徐冰,王淑琴,陶佩珍,李玉环 . 重组集成干扰素α体外抗病毒的药效学研究[J]. 山东大学学报(医学版), 2006, 44(8): 831-833. |
|