干旱区生态环境知识资源中心(Arid): 个旧市艾滋病母婴传播阻断项目实施7年效果观察

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	个旧市艾滋病母婴传播阻断项目实施7年效果观察
其他题名	Observation on the result of 7 years of implementation of mother-to-child AIDS transmission blocking project.
	文勇; 卢宽; 姚娜; 任修勤
来源期刊	中国实用儿科杂志
ISSN	1005-2224
出版年	2011
卷号	26 期号:12 页码:933-936
中文摘要	目的探索婚检人群和孕产妇艾滋病感染者的流行病学特点和有效实施母婴传播阻断模式，降低艾滋病母婴传播发生率。方法 2004年4月至2010年12月计7年来，以云南省个旧市孕产妇和结婚登记人群为观察对象，建立艾滋病母婴传播阻断网络，对HIV抗体阳性孕产妇按不同妊期实施不同药物的阻断方法，实施HIV母婴传播阻断项目。结果 7年来个旧市婚检者30 823人，接受HIV自愿咨询者27 736人，咨询率90.0%，接受HIV抗体检测者20 652人，检测率74.5%，确认艾滋病感染者342例，感染率1.7%.7年来该市孕妇保健人数57 096人，接受咨询者52 907人，咨询率92.7%，接受HIV抗体检测者50 633人，检测率95.7%，确认艾滋病感染者340例，感染率0.7%，其中外地籍孕产妇占31.6%。在340例HIV感染的孕妇中，168例自愿要求终止妊娠，占HIV感染孕妇的49.4%；自然分娩者148例，占43.5%。对已分娩和继续妊娠者172例，根据不同孕期，全部实施了不同的药物阻断。已分娩的148例中，自愿要求剖宫产者116例，占78.4%，自然分娩者32例，占21.6%.HIV感染孕产妇所生的活产婴儿150名，其中双胞胎2例。活产婴儿中转外地和失访者7例。143名婴儿实施了药物阻断和人工喂养。已满18个月的婴儿97名，对其中87名婴儿进行了HIV抗体检测，检测率89.7%，累计检出HIV抗体阳性者2例，占受检人数的2.3%。结论实施以妇幼保健机构为核心，建立保健、疾控、医疗机构三位一体的区域艾滋病母婴传播阻断网络，通过婚检、孕期咨询检测、住院分娩三个环节的综合干预，对不同孕期的孕妇实施不同的药物阻断方法，是艾滋病母婴传播阻断的有效模式。
英文摘要	Objective Explore the epidemiological characteristics of check-ups and maternal HIV infections people and implementation of mother-to-child transmission blocking, and reduce the rate of AIDS mother-to-child transmission. Methods Take maternal and marriage registration as subjects. Establish AIDS mother-to-child transmission block network. Block HIV positive anti-body maternal, put in different period implement different, drug blocking plan. Results In the past seven years in the city of 30823 people to go, and accept the voluntary consultant 27736 people with HIV, consulting rate 90.0%, accept HIV antibody test at 20652 people, the detection rate 74.5%, confirmed that 342 people infected with HIV cases, infection rates by 1.7%. In the past seven years in the city of 57096 people, the number of pregnant women care to accept the consultants of 52907 people, 92.7% rate, accept consulting HIV antibody test at 50633 people, the detection rate 95.7%, confirmed that 340 people infected with HIV infection rate 0.7%, among them, foreign maternal accounted for 31.6%. In 340 HIV infections in pregnant women, 168 oases of voluntary requirements, ccounting for termination of pregnancy; 49.4% of pregnant women with HIV infection The natural birth in 1488,accounting for 43.5%. Childbirth and continue to have 172 pregnancies, according to different pregnancy, all the implemen-tation different drugs block. Of the 148 people, has delivery voluntary requirements of cesarean section in 116 cases, accounting for 78.4%,the natural birth 32 cases, accounting for 21.6%. HIV infection in the life the maternal infant 150 people, including twins in 2 cases. Lie birth interim foreign visitors and lost 7 cases. 143 baby implement the drugs and artificial feed. Block Already full 18 months of 97 people, including the baby 87 babies HIV testing, rate was 89.7%,the total detected by HIV antibodies in 2 cases, accounting for 2.3% of the number of client. Conclusion Implemented a maternity and child care centers as the core, establish health care, disease control, medical institutions of trinity regional AIDS mother-to-child transmission network, to go through the block, pregnancy consulting detection, inpatient delivery of the three aspects of comprehensive intervention, to different gestational age at different drugs block pregnant women implementation method, is AIDS mother-to-child transmission of blocking an effective model.
中文关键词	艾滋病 ; 人类免疫缺陷病毒 ; 母婴传播阻断 ; 自愿咨询检测(VCT)
英文关键词	AIDS HIV mother-to-child transmission blocking voluntary consultation detection (VCT)
语种	中文
国家	中国
收录类别	CSCD
WOS类目	PEDIATRICS
WOS研究方向	Pediatrics
CSCD记录号	CSCD:4397121
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/227606
作者单位	个旧市妇幼保健院, 个旧, 云南 661000, 中国
推荐引用方式 GB/T 7714	文勇,卢宽,姚娜,等. 个旧市艾滋病母婴传播阻断项目实施7年效果观察[J],2011,26(12):933-936.
APA	文勇,卢宽,姚娜,&任修勤.(2011).个旧市艾滋病母婴传播阻断项目实施7年效果观察.中国实用儿科杂志,26(12),933-936.
MLA	文勇,et al."个旧市艾滋病母婴传播阻断项目实施7年效果观察".中国实用儿科杂志 26.12(2011):933-936.