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目的:探讨丽江市艾滋病母婴传播的趋势,分析母婴阻断效果,为更好地制定丽江市预防艾滋病母婴传播综合防治策略提供依据。方法:采用回顾性队列研究方法,对丽江市2008~2013年孕产妇HIV抗体检测及母婴阻断相关信息资料进行回顾性定量分析。结果:6年间对79 613例孕产妇的检测中,发现艾滋病感染孕产妇62例,感染率0.08%,其中25例选择终止妊娠,37例分娩。感染艾滋病孕产妇及所生婴儿37例,进行婴儿HIV抗体检测36例,均未感染艾滋病。结论:通过对孕产妇进行HIV抗体检测,对艾滋病感染孕产妇及所生婴儿提供母婴药物阻断、安全分娩、科学喂养及规范随访管理等综合干预措施,能有效提高丽江市预防艾滋病母婴传播干预效果。
Objective: To explore the trend of mother-to-child transmission of HIV / AIDS in Lijiang and to analyze the effect of maternal and infant blockage in order to provide a basis for better formulating a comprehensive prevention and control strategy for preventing mother-to-child transmission of HIV in Lijiang. Methods: A retrospective cohort study was conducted to retrospectively analyze the HIV antibody test and maternal and infant blockage information of pregnant women in Lijiang from 2008 to 2013. Results: During the 6 years of testing 79 613 pregnant women, 62 pregnant women were found infected with HIV, the infection rate was 0.08%. Among them, 25 chose termination of pregnancy and 37 delivered childbirth. 37 cases of pregnant women infected with AIDS and infants, 36 cases of HIV antibody testing in infants, all without AIDS. Conclusion: Comprehensive interventions such as HIV antibody test for pregnant women, maternal and childbirth prevention, safe delivery, scientific feeding and standardized follow-up management for HIV-infected pregnant women and infants can effectively improve the prevention and control of HIV / AIDS in Lijiang Spread the effect of intervention.