凉山彝族感染HIV孕产妇所生婴幼儿死亡状况分析

发布时间：2018-01-30 15:04

本文关键词： 彝族感染艾滋病病毒孕产妇婴幼儿死亡状况　出处：《中国艾滋病性病》2015年02期 　论文类型：期刊论文

【摘要】：目的了解彝族感染艾滋病病毒(HIV)孕产妇所生婴幼儿的死亡状况,为提高彝族感染HIV孕产妇所生儿童的生存质量提供依据。方法对昭觉县2008年以来死亡的彝族感染HIV孕产妇所生的活产婴幼儿进行回顾性调查,并对结果进行统计和分析。结果昭觉县彝族感染HIV孕产妇所生婴幼儿的死亡率(15.8%,53/336)明显高于当地婴幼儿的死亡率(1.1%,47/4227),死亡年龄多在2岁以内,死亡的主要原因为肺部感染、消化道感染、新生儿窒息。多因素Logistic回归分析显示,母亲分娩前已知感染HIV、母亲孕产期使用过抗病毒药物,是减少感染HIV孕产妇所生婴幼儿死亡的保护因素。结论昭觉县彝族感染HIV孕产妇所生婴幼儿,经母婴传播途径感染HIV的风险较大,死亡原因与HIV感染状态的相关性有待进一步分析和探讨。
[Abstract]:Objective to investigate the death status of infants and children born to pregnant women infected with HIV / AIDS in Yi nationality. In order to improve the quality of life (QOL) of children born to pregnant women infected with HIV, a retrospective survey was carried out on the infants and children born to HIV pregnant women who died in Zhaojue County since 2008. Results the infant mortality rate of Yi nationality infected with HIV in Zhaojue County was 15.8% and 3.36% respectively, which was significantly higher than that of local infant mortality rate (1.1%). The main causes of death were pulmonary infection, digestive tract infection, asphyxia neonatorum. Multivariate Logistic regression analysis showed that the main causes of death were pulmonary infection, digestive tract infection and neonatal asphyxia. The mother is known to be infected with HIV before delivery, and the mother has used antiviral drugs during pregnancy and childbirth. Conclusion Yi nationality in Zhaojue County has a higher risk of infecting HIV through mother-to-child transmission in pregnant women with HIV. The relationship between the cause of death and the status of HIV infection needs further analysis and discussion.
【作者单位】：凉山州疾病预防控制中心;凉山州昭觉县妇幼保健院;
【基金】：国家科技惠民计划项目(2012GS510101)~~
【分类号】：R714.251
【正文快照】： 四川省凉山州昭觉县是全国最大的彝族聚居县,也是全国艾滋病流行严重的地区之一。随着艾滋病疫情的加重,女性艾滋病病毒(Human immuondefi-ciency vivus,HIV)感染者人数和比例逐年上升,感染HIV的孕产妇逐年增加。已有研究表明,感染HIV孕产妇所生婴幼儿的死亡水平明显高于全国

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