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目的了解新疆阜康市孕产妇艾滋病病毒感染状况,为孕产妇提供预防艾滋病母婴传播的综合防治服务,最大限度地减少因母婴传播造成的儿童感染,改善妇女、儿童的生活质量及健康水平。方法用ELISA法对全市各助产医疗机构产前检查的孕妇和孕期未作HIV筛查的产妇进行HIV抗体检测,阳性标本送昌吉回族自治州疾病预防控制中心确诊。结果 5年来检出HIV阳性孕产妇11例,感染率18.1/万;感染者年龄分布在35岁以下,20~25岁居多,分别占45.4%和36.4%;小学及以下文化程度为主,占72.7%;均为初婚,无固定职业,维吾尔族居多,占81.8%;本地户籍占90.9%,感染途径主要为性传播占63.6%。结论阜康市孕产妇HIV感染形势严峻,应重视全市孕产妇HIV感染现状,加强婚前医学检查,重点做好本地户籍35岁以下文化程度低、收入低、无职业、流动的育龄妇女和孕产妇的管理,严格实行孕妇首诊HIV检测制度,做到早发现、早诊断、早干预,可有效阻断母婴传播,提高出生人口素质。
Objective To understand the prevalence of HIV among pregnant women in Fukang, Xinjiang, to provide comprehensive prevention and treatment services for pregnant women to prevent mother-to-child transmission of HIV, to minimize the children’s infection due to mother-to-child transmission and to improve the quality of life and health of women and children . Methods HIV antibody was detected by ELISA in pregnant women who were prenatal checked in all midwifery hospitals in the city and pregnant women who did not make HIV screening during pregnancy. The positive samples were confirmed by CDC of Changji Hui Autonomous Prefecture. Results 11 cases of HIV-positive pregnant women were detected in 5 years, the infection rate was 18.1 / million. The age distribution of those infected was below 35 years old, mostly between 20 and 25 years old, accounting for 45.4% and 36.4% respectively. The primary and below education level accounted for 72.7%; all were first-marriage, non-permanent occupations, mostly Uyghur, accounting for 81.8%; 90.9% of the local household registration, mainly for sexual transmission of infection 63.6%. Conclusion The situation of HIV infection among pregnant women in Fukang City is serious. HIV infection status of pregnant women and mothers in Fukang should be emphasized. Premarital medical examination should be strengthened. The local residents under 35 years of age with low education level, low income, no occupation and migrant women of childbearing age and pregnant women The strict implementation of HIV testing in pregnant women first detection system, so early detection, early diagnosis and early intervention can effectively block mother-to-child transmission and improve the quality of the birth population.