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目的对2012年1月1日-2013年12月31日连云港市应用信息化管理手段预防乙肝母婴传播工作情况进行总结,为完善工作策略提供依据。方法通过连云港市妇幼信息综合管理平台系统的全程动态监测,按不同年度和不同地区,分析乙肝表面抗原阳性孕产妇及其所生新生儿乙肝母婴阻断情况及各级机构乙肝免疫球蛋白管理情况。结果 2012-2013年连云港市孕产妇乙肝表面抗原阳性发生率为4.74%,城市和农村发生率比较差异有统计学意义(P<0.05);新生儿免费接受阻断率为99.88%;新生儿出生后24 h内乙肝免疫球蛋白免费注射率为99.54%,年度间和地区间新生儿接受注射时间比较,差异有统计学意义(P<0.05);乙肝免疫球蛋白损耗率为0.79%。结论将信息化管理手段应用在预防乙肝母婴传播工作中明显提升了监督管理水平和工作效率,提高了服务质量,促进了政府政策的有效落实。
Objective To summarize the application of information management measures to prevent mother-to-child transmission of hepatitis B in Lianyungang City from January 1, 2012 to December 31, 2013, and provide the basis for improving the work strategy. Methods Through Lianyungang maternal and child information integrated management platform system of dynamic monitoring, according to different years and different regions, analysis of hepatitis B surface antigen-positive pregnant women and their newborn infants born hepatitis B mother and childbirth and institutions at all levels of hepatitis B immunoglobulin management Happening. Results The positive rate of hepatitis B surface antigen in pregnant women in Lianyungang between 2012 and 2013 was 4.74%, with a statistically significant difference between urban and rural areas (P <0.05). The newborn’s rate of free block was 99.88% After 24 hours, the free injection rate of hepatitis B immunoglobulin was 99.54%. There was significant difference between the two groups in the annual and regional neonatal injection time (P <0.05). The rate of hepatitis B immunoglobulin loss was 0.79%. Conclusion The application of information management in preventing mother-to-child transmission of hepatitis B has obviously improved the supervision and management level and work efficiency, improved the service quality and promoted the effective implementation of government policies.