HIV感染产妇分娩新生儿体格及妊娠疾病相关分析

发布时间：2018-01-26 02:34

本文关键词： 艾滋病病毒感染产妇新生儿出生体格妊娠疾病　出处：《中国艾滋病性病》2017年11期 　论文类型：期刊论文

【摘要】：目的通过对艾滋病病毒(HIV)感染产妇分娩的新生儿的出生体格情况及其相关影响因素进行分析,为HIV感染产妇孕期保健服务提供指导。方法回顾性分析2005年3月至2016年6月11年期间HIV感染产妇分娩的新生儿出生体格的发育情况,与同期普通产妇分娩的新生儿进行比较。结果共调查11 129名新生儿,HIV感染产妇的新生儿310人,普通产妇的新生儿10 819人。HIV感染产妇平均分娩孕周[(38.6±1.4)周]低于普通产妇[(39.2±1.3)周],差异有统计学意义(P0.05)。普通产妇所生新生儿体格发育情况优于HIV感染产妇所生新生儿(P0.05),HIV感染产妇所生新生儿体重(2 988.9±275.5)g,头围(29.3±2.7)cm,胸围(28.5±2.3)cm,身长(49±1.9)cm;普通产妇所生新生儿体重(3 250.5±424.8)g,头围(32.3±1.9)cm,胸围(31.6±1.9)cm,身长(50.1±1.7)cm。HIV感染产妇在妊娠并发症发生率,以及妊娠并发肝炎、胎膜早破、妊娠并发性传播疾病、胎儿宫内窘迫、早产、妊娠并发贫血、妊娠并发甲状腺疾病、妊娠并发肝脏疾病和胎儿生长受限等情况均高于普通产妇,差异有统计学意义(P0.05)。胎膜早破羊水细菌培养感染率HIV感染产妇高于普通产妇,差异有统计学意义(P=0.042)。结论 HIV感染会对孕产妇的孕周及新生儿出生体重产生影响,对于HIV感染孕产妇应加强孕期保健服务,规范抗病毒治疗、预防药物不良反应,安全助产,指导新生儿科学喂养,提高HIV产妇和婴儿的生存质量。
[Abstract]:Objective to analyze the physical condition and related factors of newborns born with HIV / AIDS infection. Methods from March 2005 to June 2016, the development of newborn infants with HIV infection was analyzed retrospectively. Results A total of 11 129 newborns with HIV infection were investigated. 10,819 newborns of ordinary mothers. Average gestational weeks of HIV-infected women. [(38.6 卤1.4) weeks] is lower than that of normal parturient. [The difference was statistically significant (P 0.05). The physical development of newborns born to normal pregnant women was better than that of newborns infected with HIV (P 0.05). The body weight of newborns born to pregnant women infected with HIV was 29.3 卤2.7 cm, the body weight of newborns was 298.9 卤275.5g, and the chest circumference was 28.5 卤2.3 cm. Length 49 卤1.9 cm; The body weight of newborns was 3250.5 卤424.8g, the head circumference was 32.3 卤1.9cm, and the chest circumference was 31.6 卤1.9mm. The incidence of pregnancy complications, pregnancy complicated with hepatitis, premature rupture of membranes, pregnancy complicated with sexually transmitted diseases, fetal distress, premature delivery. Pregnancy complicated with anemia, pregnancy complicated with thyroid disease, pregnancy complicated with liver disease and fetal growth restriction were higher than common parturient. The infection rate of bacteria in amniotic fluid of premature rupture of fetal membrane was higher in pregnant women with HIV infection than that in normal women. The difference was statistically significant (P < 0.042). Conclusion HIV infection may affect pregnant women's gestational weeks and newborn birth weight, and the pregnant women with HIV infection should strengthen health care during pregnancy. Standard antiviral treatment, prevention of adverse drug reactions, safe midwifery, guidance of neonatal scientific feeding, improve the quality of life of HIV parturient and infant.
【作者单位】：云南省妇幼保健院;
【基金】：促进农村孕产妇艾滋病、梅毒和乙肝母婴传播早期检测及阻断研究(2014NS369)~~
【分类号】：R714.251
【正文快照】： Supported by the Research Project for Early Detection and Prevention of MTCT of HIV,Syphilis and Hepatitis B inRural Areas(2014N369)至2016年10月31日,云南省统计近5年新报告发现的艾滋病病毒(HIV)感染者/病人趋于稳定,但性传播比例持续上升。母婴垂直传播是15岁以

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