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目的分析贵阳市HIV感染孕产妇的感染状况,药物干预情况,了解预防艾滋病母婴传播项目的服务现况,分析存在的困难和原因,探索解决的方法,为贵阳市制定相关的服务策略提供依据,促进规范执行预防艾滋病母婴传播项目,切实减少艾滋病母婴传播。方法对贵阳市2011-2014年上报到全国预防艾滋病、梅毒和乙肝母婴传播管理信息系统中的HIV感染孕产妇及其所生儿童的个案资料进行回顾性分析。结果 HIV阳性孕产妇文化程度较低,70.1%为初中及以下;仅产时检测阳性者比例较大,占34.4%;产妇服药率67.2%,其中仅产时阳性产妇服药率为19%;新生儿用药干预率为81.2%,新生儿人工喂养率96.7%。结论贵阳市HIV感染产妇用药干预率未达目标要求(80%),主要原因是仅产时筛查阳性孕产妇服药率低。孕产妇在孕前和孕期及早确诊HIV,提高医务人员的咨询技能,有利于提高抗病毒药物应用的依从性,降低母婴传播率。
Objective To analyze the status of infection and drug intervention in HIV-infected pregnant women in Guiyang, understand the service status of HIV / AIDS prevention and treatment programs, analyze the existing difficulties and causes, and explore ways to solve them so as to provide the basis for formulating related service strategies in Guiyang , Promote the standardized implementation of HIV / AIDS mother-to-child transmission project and effectively reduce mother-to-child transmission of HIV / AIDS. Methods A retrospective analysis was conducted on case data of HIV-infected pregnant women and their children born in Guiyang from 2011-2014 to the National HIV / AIDS and Syphilis and HBV Hepatitis B Management Information System. Results HIV-positive pregnant women had a low educational level, with 70.1% of them being of junior high school and below; only 34.4% of them were tested positive at birth; 67.2% of them were maternal-specific, of which only 19% Children medication intervention rate was 81.2%, neonatal artificial feeding rate of 96.7%. Conclusion The intervention rate of HIV infection in Guiyang is less than the target (80%). The main reason is that the rate of maternal drug use in screening positive pregnant women only during birth is low. Pregnant women early diagnosis of HIV before pregnancy and during pregnancy, improve medical counseling skills, help to improve compliance with anti-viral drugs, reduce mother-to-child transmission rates.