摘要
目的分析驻马店市开展预防艾滋病母婴传播干预工作以来，孕产妇人群中艾滋病病毒（HIV）感染情况和母婴传播情况及工作成效。方法2001年10月-2009年5月，在全市孕产妇人群开展HIV自愿咨询与检测，共检测339866名孕产妇；对检测过程中发现的594例HIV抗体阳性孕产妇进行综合干预，对其分娩的326名婴儿实施干预措施并在满12个月和18个月进行HIV抗体检测。结果检测发现594例HIV阳性孕产妇，阳性率为0．17％（594／339866），孕产妇HIV抗体检测阳性率呈现逐年下降趋势，最高年份2002年为0．47％（37／7837），最低年份2008年为0．12％（86／73343）。594例阳性孕产妇中，自愿终止妊娠228例，占38．38％（228／594）；继续妊娠的43例，占7．24％（43／594）；产妇317例，占53．37％（317／594）。317例阳性产妇共生产婴儿326名，实施母婴阻断298名，实施阻断措施比率为94．01％（298／317）；326名婴儿中存活317名，其中满18个月者224名，接受检测221名，检测出HIV阳性7例，接受干预措施后的母婴传播率为3．17％（7／221）。结论通过开展预防艾滋病母婴传播干预工作，可及时掌握孕产妇人群中HIV的感染状况，能有效降低艾滋病母婴传播水平。
Objective To analyze the current status of maternal HIV infection, mother to child transmission,and the work accomplishments in preventing mother-to-child transmission of HIV （PMTCT）. Methods During October,2001 to May ,2009, HIV voluntary consultation and examination were carried out in 339 866 pregnant women in the urban areas, while 594 pregnant women who tested positive were intervened,and interventions were also conducted among 326 babies who were born to HIV positive mothers, incluidng HIV immune body examination on the babies when they were 12 months and 18 months old. Results A total of 594 pregnant women were found HIV positive, with the positive rate of 0. 17% （594/339 866）. And the rate was declining year by year. The highest rate was 0. 47% （37/7837） in 2002, and the lowest rate was 0. 12% （86/73 343） in 2008. Of the 594 positive pregnant women,228（38.38% ） terminated pregnancy voluntarily,43 （7.24%） kept on pregnancy and 317 （53.37%） parturients. Of 326 babies born by the 317 parturients, 317 survived. 298 received curbing intervention for mother to child transmission（PMTCT） , the ratio was 94.01% （ 298/317 ）. Of 224 babies who were 18 months old, 221 accepted examination, and 7 HIV positive. The maternal infant transmission rate after intervention was 3.17% （7/221）. Conclusion Through the prevention of mother-to-child transmission of HIV, the HIV infection status in the pregnant women can be timely observed, which can effectively decrease the level of mother-to-child transmission of HIV.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2009年第11期988-990,共3页
Chinese Journal of Preventive Medicine
关键词
获得性免疫缺陷综合征
疾病传播
垂直
早期干预(教育)
评价研究
Acquired immunodeficiency syndrome
Disease transmission, vertical
Early intervention（Education）
Evaluation studies
