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目的分析北海市2011~2013年开展艾滋病母婴传播阻断工作现状和效果,为更好地制定北海市阻断艾滋病母婴传播综合防治措施提供依据。方法对北海市2011~2013年艾滋病孕产妇及其分娩新生儿监测资料进行分析。结果北海市3年内共筛查孕妇92 325例,检出人类免疫缺陷病毒(HIV)阳性孕产妇36例,阳性发生率为0.04%。HIV感染孕产妇的年龄主要分布在20~30岁之间,占72.22%,文化程度主要为初中(占77.78%),感染途径主要为性传播(占91.67%),职业主要为农民和农民工(占61.11%)。2013年孕期HIV检测率(91.74%)明显高于2011年(P<0.01),2013年终止妊娠率(48.86%)高于2011年(7.69%)和2012年(11.11%)。孕产期用药率为82.14%,新生儿用药率达96.30%,使用抗HIV药物的孕产妇孕产期均无妊娠期并发症发生,新生儿也无出生缺陷发生,早产发生率为3.7%,新生儿窒息发生率为3.7%。新生儿人工喂养率为100%,母婴传播阻断率达100%。结论加大艾滋病防治知识和预防艾滋病母婴传播知识的健康教育力度,提高对预防艾滋病母婴垂直传播的认识,并通过对孕产妇进行HIV抗体检测(特别是孕期检测),对艾滋病感染孕产妇和所生婴儿及时提供药物阻断、安全分娩、人工喂养等措施对预防艾滋病母婴传播是安全有效的,能提高该市艾滋病母婴传播阻断工作的效果。
Objective To analyze the current situation and effect of blocking mother-to-child transmission of HIV / AIDS in Beihai from 2011 to 2013 and provide evidence for better prevention and control of mother-to-child transmission of AIDS in Beihai. Methods The monitoring data of pregnant women with AIDS and their newborn birth during 2011-2013 in Beihai were analyzed. Results A total of 92 325 pregnant women were screened in Beihai within 3 years. Thirty-six HIV-positive pregnant women were detected, the positive rate was 0.04%. The age of HIV-infected pregnant women was mainly between 20-30 years old, accounting for 72.22%. The educational level was mainly junior high school (77.78%), and the main route of infection was sexual transmission (91.67%). The main occupations were peasants and migrant workers (61.11%). The detection rate of HIV in pregnancy in 2013 (91.74%) was significantly higher than that in 2011 (P <0.01). The 2013 pregnancy termination rate (48.86%) was higher than that in 2011 (7.69%) and 2012 (11.11%). Maternal medication rate was 82.14%, newborn drug rate was 96.30%, the use of anti-HIV drugs pregnant women no pregnancy complications during pregnancy, no birth defects in neonates, the incidence of preterm birth was 3.7% The incidence of neonatal asphyxia was 3.7%. Neonatal artificial feeding rate of 100%, mother-to-child transmission blocking rate of 100%. Conclusion To increase AIDS prevention and control knowledge and prevent HIV / AIDS mother-to-child transmission of knowledge of health education to raise awareness of prevention of vertical transmission of mother-infant HIV and AIDS, and through the detection of HIV antibodies to pregnant women (especially pregnancy testing), HIV infection of pregnant women Measures such as timely drug delivery, safe delivery and artificial feeding to infants should be safe and effective in preventing mother-to-child transmission of HIV and improving the effectiveness of preventing mother-to-child transmission of HIV / AIDS in the city.