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目的分析2005年开展H IV母婴阻断工作以来在顺德地区发现的H IV阳性孕产妇的干预情况,为今后的H IV母婴传播预防控制工作提供科学依据和工作思路。方法采用描述性流行病学方法,对顺德区2005年1月至2008年6月间发现的H IV阳性孕产妇资料进行统计分析。结果2005-2008年,顺德区共发现H IV阳性孕产妇21例,并为13例个案提供了母婴阻断干预,其中终止妊娠5例,药物干预8例;6名孕产妇实施母婴药物阻断干预后分娩。HIV阳性孕产妇诞下婴儿接受随访的有7例,其中年龄超过1.5周岁的婴幼儿1例,其HIV抗体检测结果为阴性。结论佛山市顺德区孕产妇的H IV感染率有逐年升高的趋势,要有效地开展H IV孕产妇母婴阻断工作,必须采取健康教育、行为干预相结合的综合措施,从源头上预防妇女和儿童感染H IV,才能取得较好的防控效果。
Objective To analyze the intervention of H IV positive pregnant women found in Shunde since HIV maternal and child interruption was carried out in 2005 so as to provide a scientific basis and work ideas for the future prevention and control of H IV maternal and infant transmission. Methods Descriptive epidemiological methods were used to analyze the data of H IV positive pregnant women found in Shunde from January 2005 to June 2008. Results From 2005 to 2008, a total of 21 H IV positive pregnant women were found in Shunde district. Maternal and child block interventions were provided for 13 cases, of which 5 were termination of pregnancy and 8 were drug intervention. Six pregnant women and mothers performed maternal and child drug Interruption of delivery after delivery. HIV-positive pregnant women gave birth to infants undergoing follow-up of 7 cases, of which more than 1.5 years of age infants and young children in 1 case, the test results of HIV antibodies negative. Conclusion The prevalence of H IV infection in pregnant women in Shunde district of Foshan City has been increasing year by year. To effectively prevent mother-infant interruption of H IV maternal, we must take comprehensive measures combining health education with behavioral intervention to prevent it from the source Women and children infected with H IV, in order to achieve better prevention and control.