广州市2002-2013年HIV母婴传播阻断干预情况分析

发布时间：2018-04-21 08:19

本文选题：艾滋病病毒阳性孕产妇 + 母婴传播　；参考：《中国艾滋病性病》2015年11期

【摘要】：目的了解广州市2002-2013年报告的艾滋病病毒(HIV)抗体阳性孕产妇的疫情,以及母婴传播干预情况。方法运用趋势卡方分析,对2002-2013年报告的HIV抗体阳性孕产妇病例的晚发现、接受母婴阻断干预与随访等情况进行分析。结果 2002-2013年,广州市累计报告HIV抗体阳性孕产妇278例,现存活261例。其中常住病例占64.4%(168例),平均年龄为27.6岁,异性传播占85.4%(223例),HIV感染者占70.1%(183例),AIDS病例所占比例呈下降的趋势(趋势χ2=8.46,P=0.004);接受HIV母婴阻断干预措施的病例占66.5%;常住病例中选择继续妊娠者所占比例(51.8%)高于非常住病例(38.7%)(χ2=4.556,P=0.033);已分娩婴儿中失访比例为41.4%。结论应加强孕产妇人群及其配偶的HIV抗体检测工作,孕产妇病例分娩婴儿的随访监测工作,是母婴传播干预工作的重点。
[Abstract]:Objective to investigate the epidemic situation of HIV-positive pregnant women and the intervention of mother-to-child transmission in Guangzhou from 2002 to 2013. Methods the trend chi-square analysis was used to analyze the late detection of HIV antibody positive pregnant and lying-in women reported from 2002 to 2013, the intervention of mother and child blocking and follow-up. Results from 2002 to 2013, 278 cases of HIV antibody positive pregnant women were reported in Guangzhou, and 261 cases survived. Among them, the resident cases accounted for 64.4% and 168 cases, with an average age of 27.6 years. Heterosexual transmission accounted for 85.4% of 223 HIV-infected persons (70.1%) and 183 AIDS cases (蠂 ~ 2 / 8.46% P ~ (0.004)%; 66.5% of cases receiving HIV mother and child interdiction measures; 51.8% of permanent resident cases who chose to continue pregnancy) than non-resident diseases (蠂 ~ (2) / 8.46 / P ~ (0.004) / P ~ (0.004)). 38.7% (蠂 2 + 4.556%) and 41.4% of the infants who have already given birth. Conclusion the detection of HIV antibody among pregnant women and their spouses should be strengthened, and the follow-up monitoring of pregnant and parturient infants should be emphasized in the intervention of mother-to-child transmission.
【作者单位】：广州市疾病预防控制中心;
【基金】：广东省医学科研基金项目(A2014587)~~
【分类号】：R714.251

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