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目的分析浙江省丽水市预防艾滋病母婴传播管理工作中存在问题,提高预防艾滋病母婴传播工作管理质量。方法收集2007-2014年丽水市检出的HIV感染孕产妇及其所生儿童母婴阻断干预服务和随访信息,分析措施落实情况和存在的问题。结果 8年间,共检出HIV感染孕产妇35例,HIV阳性检出率0.22‰,其中自愿选择终止妊娠12例,选择继续妊娠23例。项目实施前后,孕产妇CD4检测率从0提高至75%(χ~2=10.588,P<0.001)。HIV感染孕妇孕期抗病毒用药率为61%。HIV暴露儿童23例,项目实施前后的早诊率从0提高至75%。暴露儿童抗病毒用药率为57%,随访率为75%。结论丽水市全面开展了预防艾滋病母婴传播工作并有效促进了各种干预措施的落实,提高了感染孕产妇孕期CD4检测率和暴露儿童早诊率。今后应进一步加强感染孕产妇及其所生儿童的抗病毒治疗及随访管理工作。
Objective To analyze the existing problems in the prevention of mother-to-child transmission of AIDS in Lishui City, Zhejiang Province, and to improve the quality of management of prevention of mother-to-child transmission of AIDS. Methods The information of interception service and follow-up of maternal and childbirth in HIV-infected pregnant women and their children from 2007 to 2014 in Lishui city were collected, and the implementation status and existing problems were analyzed. Results In 8 years, 35 cases of HIV-infected pregnant women were detected, the positive rate of HIV was 0.22 ‰, of which 12 cases were terminated by voluntary choice, and 23 cases were selected for further pregnancy. Before and after the implementation of the project, the detection rate of maternal CD4 increased from 0 to 75% (χ ~ 2 = 10.588, P <0.001). HIV infection during pregnancy anti-virus drug use rate was 61%. 23 cases of HIV-exposed children, the project before and after the implementation of the rate of early diagnosis from 0 to 75%. Children exposed to antiviral drug rate was 57%, follow-up rate of 75%. Conclusion Lishui City has carried out the work of preventing mother-to-child transmission of AIDS and effectively promoted the implementation of various intervention measures, and increased the detection rate of pregnant women during pregnancy and the rate of early detection of exposed children. In the future, antiviral treatment and follow-up management of infected pregnant women and their children should be further strengthened.