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目的:了解新疆A市实施艾滋病母婴阻断干预措施的经济学效率。方法:采用卫生经济学分析评价方法中的成本效果分析方法和成本效用分析方法对新疆A市2008～2010年母婴阻断实施效果。结果:2008年～2010年,共检测孕产妇99 383人,孕产妇接受HIV病毒检测率达到98%以上;实施母婴阻断各种干预措施直接避免感染68人,终止妊娠避免1例感染的费用为10 429.21元,药物阻断避免1人感染的费用为27 662.75元;避免直接经济损失合计14 563 696元;直接避免减少DALY损失合计为1 411.68元。结论:A市母婴传播阻断工作成效显著;终止妊娠措施是更为经济的选择,但可能不是最好的解决方式;母婴传播阻断工作是防治艾滋病有效而经济的措施。
Objective: To understand the economic efficiency of AIDS prevention maternal and child block intervention in Xinjiang A city. Methods: The cost-effectiveness analysis method and cost-utility analysis method in health economics analysis and evaluation method were used to evaluate the effect of maternal and child block from 2008 to 2010 in A city, Xinjiang. Results: From 2008 to 2010, a total of 99 383 pregnant women were tested, and the detection rate of pregnant women receiving HIV was more than 98%. Various maternal and child block interventions were adopted to prevent 68 infections directly and one pregnancy was terminated The cost was 10 429.21 yuan, the cost of drug blocking to avoid infection of one person was 27 662.75 yuan, the total direct economic loss was 14 563 696 yuan, and the total loss of DALY was 1 411.68 yuan directly. Conclusion: The mother-to-child transmission interruption in city A has achieved remarkable results. The termination of pregnancy measures is a more economical option but may not be the best solution. The mother-to-child transmission prevention work is an effective and economical measure to combat AIDS.