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目的对艾滋病母婴阻断项目在广西来宾市的实施进行效果评估,为全市预防艾滋病母婴传播提供科学依据。方法在全市实施艾滋病母婴阻断技术,对凡参加孕检的孕产妇免费进行艾滋病咨询检测,对检出阳性者进行艾滋病母婴阻断(感染母亲及所生婴儿按艾滋病母婴阻断技术方案服用抗逆转录病毒药物、实行安全助产和人工喂养指导等)。结果 2010—2015年全市共有207 861例孕产妇参加艾滋病咨询检测,检测率99.17%(207 861/209 600),检出艾滋病抗体阳性325例,检出阳性率0.16%(325/207 861);对检出艾滋病抗体阳性的孕妇纳入艾滋病母婴阻断系统管理,通过卫生咨询指导,告知患者艾滋病的传播方式及其危害性、预防措施和伦理等知情选择,最后自愿选择终止妊娠87例,选择生育的238例;238例艾滋病抗体阳性者中有227例按艾滋病母婴阻断技术方案全程足量服用抗逆转录病毒药物,服药率95.38%(227/238);活产婴儿232例,按艾滋病母婴阻断技术方案全程足量服用抗逆转录病毒药物221例,服药率95.26%(221/232);而后按艾滋病母婴阻断技术方案对出生婴儿满42天和3个月进行艾滋病早期诊断,检出阳性1例,检出阳性率0.45%;最后对198例出生满18个月婴儿,进行艾滋病抗体检测,未捡出艾滋病抗体阳性者。结论孕产妇在进行正常孕产检时同时进行艾滋病咨询检测,对艾滋病的早期发现,可以取得事半功倍的效果;对检出艾滋病阳性孕妇及所生婴儿采取艾滋病母婴阻断综合性预防措施,是预防艾滋病母婴传播的有效方法。
Objective To evaluate the effectiveness of HIV / AIDS prevention and treatment project in Laibin, Guangxi and provide a scientific basis for the prevention of mother-to-child transmission of HIV in the city. Methods The implementation of AIDS mother and child blocking technology in the city, pregnant women who participate in pregnancy tests for free counseling and testing of AIDS, positive for HIV-positive mother and child were blocked (infected mothers and infants born by HIV maternal and child blocking technology Programs taking antiretroviral drugs, the implementation of safe birth and feeding instructions, etc.). Results A total of 207,861 pregnant women participated in AIDS counseling and testing in 2010-2015. The detection rate was 99.17% (207 861/209 600). A total of 325 HIV positive cases were detected, and the positive rate was 0.16% (325/207 861). Pregnant women with HIV positive were included in the management of AIDS mother and child blocking system, through the guidance of health counseling, to inform patients of AIDS transmission and its harmfulness, precautionary measures and ethical and other informed choices, the final choice of 87 cases of pregnancy termination, choose 238 cases of infertility; 238 cases of HIV-positive in 227 cases of HIV-positive mother and child by the full program of anti-retroviral drugs adequate doses of medication rate was 95.38% (227/238); live births in 232 cases, according to AIDS and maternal and child block technology program full take 221 cases of antiretroviral drugs sufficient rate of 95.26% (221/232); and then according to the AIDS mother and child blocking technology program for the birth of infants 42 days and 3 months of AIDS Early diagnosis, positive in 1 cases, the positive rate was detected 0.45%; Finally, 198 cases of infants born 18 months old were tested for AIDS antibody, did not pick up HIV positive. Conclusions During the normal pregnancy test, pregnant women also have AIDS counseling and testing at the same time. Early detection of AIDS can achieve a multiplier effect with a multiplier effect. Comprehensive preventive measures against HIV / AIDS in mothers and infants born to HIV-positive pregnant women are recommended Effective ways to prevent mother-to-child transmission of HIV / AIDS.