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目的探讨卧龙区预防艾滋病母婴传播综合干预措施,为艾滋病防治工作提供科学依据。方法采取宣传教育、自愿咨询检测、终止妊娠、随访观察、药物阻断、安全分娩和婴儿喂养指导等综合干预措施,减少婚内性传播,降低我区HIV经母婴传播率。结果实施母婴阻断以前阳性孕产妇22人,母婴传播12人,母婴传播率为54.55%(12?22);实施母婴阻断后,共对29例阳性孕产妇采取干预措施,自愿终止妊娠16人,妊娠终止率55.17%(16?29),13人继续妊娠分娩,妊娠分娩率44.83%(13?29)。检测所生13名婴儿中有阳性1人,母婴传播率为7.69%(1?13),实施前后差异有统计学意义(P<0.01)。结论卧龙区实施母婴传播综合干预措施取得了明显的成效,但在孕产妇检测、预防艾滋病母婴传播健康教育等方面还有待进一步加强。
Objective To explore the comprehensive interventions for preventing mother-to-child transmission of AIDS in Wolong district and provide a scientific basis for AIDS prevention and control. Methods Adopting comprehensive intervention measures such as publicity and education, voluntary counseling and testing, termination of pregnancy, follow-up observation, drug obstruction, safe delivery and infant feeding guidance to reduce marital sexual transmission and reduce the rate of HIV through mother-to-child transmission in our district. Results Before the implementation of maternal and child block, 22 pregnant women were positive, 12 were mother-to-child transmission, and the rate of mother to child transmission was 54.55% (12-22). After maternal and child block, a total of 29 positive maternal interventions were taken, 16 were terminated voluntarily, the rate of termination of pregnancy was 55.17% (16-29). Thirteen people continued to give birth and the pregnancy rate was 44.83% (13-29). There were 1 positive in 13 infants, the rate of mother to child transmission was 7.69% (1 ~ 13). The difference was statistically significant before and after the implementation (P <0.01). Conclusion The comprehensive interventions for mother-to-child transmission in Wolong have achieved remarkable results. However, we still need to further strengthen maternal testing and prevention of mother-to-child transmission of AIDS.