美姑县HIV阳性孕产妇所生婴儿死亡原因分析

发布时间：2018-04-01 07:56

本文选题：艾滋病病毒阳性孕产妇　切入点：婴儿　出处：《中国艾滋病性病》2015年12期

【摘要】：目的了解美姑县艾滋病病毒(HIV)阳性孕产妇所生婴儿的死亡情况和原因分析。方法对四川省美姑县HIV阳性孕产妇所生、并于2011年1月至2013年12月期间死亡的23例婴儿,运用口头尸检(VA)方法分析其死亡情况。结果 23名婴儿中,6名婴儿混合喂养,情况严重;17名人工喂养,安全性得不到保障,辅食添加过早。86.96%(20例)的婴儿于家中死亡;65.22%(15例)的婴儿于3个月内死亡;69.57%(16例)的婴儿是因肺炎、腹泻导致死亡;65.22%(15例)的婴儿死亡与HIV感染无关。结论喂养行为不当增加了暴露婴儿死亡风险,应加强喂养指导,通过开展居民健康教育,提升医疗机构服务能力等措施促进暴露婴儿患病后对医疗服务的利用;应进一步推广婴儿疾病综合管理适宜技术,采取综合性手段降低婴儿肺炎和腹泻的发病率和死亡率。
[Abstract]:Objective to investigate the death and causes of infants born to HIV-positive pregnant women in Meigu County.Methods 23 infants who died from January 2011 to December 2013 of HIV positive pregnant and lying-in women in Meigu County Sichuan Province were analyzed by oral autopsy (via).Results among the 23 infants, 6 infants were mixed and 17 were artificially fed. The safety was not guaranteed.The infant death rate was 65.22% (15 cases) the infant died within 3 months (69.57 cases) the infant died because of pneumonia, the death rate caused by diarrhea was 65.22%) the infant death was not related to HIV infection.Conclusion the improper feeding behavior increases the risk of death of exposed infants. It is necessary to strengthen feeding guidance and promote the utilization of medical services after exposure to illness by carrying out health education for residents and improving the service capacity of medical institutions.It is necessary to further promote the appropriate techniques for integrated management of infant diseases and adopt comprehensive measures to reduce the morbidity and mortality of infant pneumonia and diarrhoea.
【作者单位】：四川省妇幼保健院;四川省凉山州妇幼保健院;美姑县妇幼保健院;
【分类号】：R714.251

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