长沙市第一医院23例艾滋病母婴阻断效果分析

发布时间：2018-01-15 02:17

本文关键词：长沙市第一医院23例艾滋病母婴阻断效果分析　出处：《中国感染控制杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的观察人类免疫缺陷病毒(HIV)阳性孕妇母婴阻断效果,摸索适合开展的艾滋病母婴阻断预防模式。方法回顾性分析某院2005—2015年23例HIV阳性孕产妇的病例资料。结果 23例HIV阳性孕产妇均接受了高效抗逆转录病毒治疗(HAART)及阻断HIV母婴传播综合干预服务。其中,12例HIV阳性患者接受HAART后怀孕,10例在孕早期(28周内)检出HIV阳性而接受HAART治疗,1例在孕28周后检出HIV阳性而接受HAART。23例HIV阳性孕妇均娩出正常新生儿,婴幼儿经随访检测均未感染HIV。结论对HIV阳性孕产妇进行HAART是阻断HIV母婴传播的关键,配合新生儿的预防性用药和人工喂养等干预措施,能有效地预防HIV母婴传播。由专科医生提供对HIV阳性孕产妇的HAART,配合妇幼保健医院提供产检、分娩及婴儿的预防性服药,这种相互转介的艾滋病母婴阻断模式有效率较高。
[Abstract]:Objective To observe the human immunodeficiency virus (HIV) positive pregnant women PMTCT effect, find suitable to carry out AIDS PMTCT prevention. Methods a retrospective analysis in a hospital from 2005 to 2015, 23 cases of HIV positive pregnant women were collected. Results 23 cases of HIV positive pregnant women were receiving antiretroviral therapy (HAART) and block mother to child transmission of HIV comprehensive intervention services. Among them, 12 cases of HIV positive patients receiving HAART after pregnancy, 10 cases in early pregnancy (within 28 weeks) were HIV positive and HAART therapy in 1 patients after 28 weeks of gestation were HIV positive and HAART.23 HIV positive pregnant women were delivered normal neonates, infants were not infected with HIV. were detected by conclusion HAART of HIV positive pregnant women is the key to blocking HIV transmission, with neonatal prophylactic medication and artificial feeding interventions can effectively prevent mother to child transmission. By HIV Doctors provide HAART for HIV positive pregnant women, cooperate with the maternal and child health hospital to provide birth control, delivery and infant preventive medication. This kind of mutual aids mother to child blocking mode has a higher effective rate.

【作者单位】：长沙市第一医院艾滋病研究所;
【基金】：国家十二五成人艾滋病适宜治疗策略研究与应用项目(2012ZX10001-003-001)
【分类号】：R714.251
【正文快照】： [Chin J Infect Control,2017,16(4):355-358]艾滋病母婴传播是指感染了人类免疫缺陷病毒(human immunodeficiency virus,HIV)的妇女在怀孕、分娩或产后哺乳等过程中将HIV传染给胎儿或婴儿,导致胎儿或婴儿感染的过程。母婴传播已成为15岁以下儿童HIV感染的最主要传播途径[1],2

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