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目的:了解景宁县艾滋病(AIDS)、梅毒在孕产妇中流行现状,提出积极应对措施。方法:对2005~2007年产前检查门诊和住院分娩的4 911例孕产妇常规开展艾滋病病毒(HIV)和梅毒初筛,初筛阳性者分别做HIV和梅毒螺旋体血凝实验(TPHA)确诊试验。结果:HIV初筛阳性和HIV确诊试验阳性孕产妇4例,阳性率0.08%,甲苯胺红不加热血清试验(TRUST)和TPHA均阳性孕产妇22例,阳性率为0.45%。感染者多文化程度低、无固定职业,自我保健意识薄弱人群。结论:为了控制HIV和梅毒在母婴间的传播和蔓延,对产前检查和住院分娩孕产妇常规开展HIV抗体和梅毒筛查是必要的,同时加强流动人口的管理和健康教育特别是性病防治知识教育、加强婚前保健工作对预防HIV和梅毒在母婴之间的传播将起积极作用。
Objective: To understand the epidemic situation of AIDS and syphilis among pregnant women in Jingning County and to put forward positive countermeasures. Methods: A total of 4 911 pregnant women who had antenatal check-up and hospital delivery from 2005 to 2007 were routinely tested for HIV and syphilis, and HIV-positive and syphilitic haemagglutination tests (TPHA) . Results: Four cases were positive for HIV screening and HIV positive test, the positive rate was 0.08%. There were 22 pregnant women with positive TRAIL and TPHA positive tests, the positive rate was 0.45%. Infection with low level of education, no fixed occupation, self-care of vulnerable groups. Conclusion: In order to control the transmission and spread of HIV and syphilis among mother and infant, it is necessary to routinely carry out screening of HIV antibody and syphilis for prenatal and in-hospital pregnant women. At the same time, it should strengthen the management of floating population and health education, especially STD prevention and treatment Knowledge education and strengthening premarital health care will play a positive role in preventing the spread of HIV and syphilis among mothers and children.