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采用随访观察的研究方法,观察了13名感染HCV的母亲和她们生的15例婴儿的母婴传播HCV可能性、传播机率和后果。15例婴儿中,HCV感染率为86.7%,其中临床型1例(7.7%),亚临床型HC3例(23.1%),隐性感染9例(69.2%)。抗-HCV阳性率为:3月龄前为100.0%,6月龄开始有阴转,18月龄降至33.3%,到36个月龄时仍有1例阳性(16.7%)。HCVRNA检出率:9月龄前与抗-HCV相同,之后较高,18月龄后为66.7%,36月龄时为33.3%。婴儿感染HCV的临床类型与母亲怀孕时的病态有关,母亲孕期为临床型HC者,其婴儿易发展为临床型或亚临床型感染;HCVRNA和抗-HCV持续时间也相对长。HCV感染婴儿可能均为宫内感染,而非出生后所致。母亲及其婴儿血清标本HCVRNA基因型均为Ⅱ型。
A follow-up study was conducted to determine the probability of mother-to-child transmission of HCV, the probability of transmission and the consequences of 13 mothers infected with HCV and 15 infants born to them. In 15 infants, the HCV infection rate was 86.7%, of which 1 was clinical (7.7%), 3 (23.1%) subclinical HC and 9 (69.2%) were latent infection. The anti-HCV positive rate was 100.0% at 3 months of age, with a negative turn at 6 months and 33.3% at 18 months, and still one case at 36 months (16.7 %). HCV RNA detection rate: 9 months ago with anti-HCV the same, then higher, 66.7% after 18 months, 33.3% at 36 months of age. The clinical type of HCV infection in infants is related to the morbidity of the mother during pregnancy. The mother is a clinical HC in her pregnancy, and her infant tends to develop clinical or subclinical infection. The HCV RNA and anti-HCV duration are also relatively long. Infants infected with HCV may be intrauterine infection, not after birth. The HCVRNA genotypes of the serum samples from mothers and their infants were type Ⅱ.