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目的了解美姑县艾滋病病毒(HIV)阳性孕产妇所生婴儿的死亡情况和原因分析。方法对四川省美姑县HIV阳性孕产妇所生、并于2011年1月至2013年12月期间死亡的23例婴儿,运用口头尸检(VA)方法分析其死亡情况。结果 23名婴儿中,6名婴儿混合喂养,情况严重;17名人工喂养,安全性得不到保障,辅食添加过早。86.96%(20例)的婴儿于家中死亡;65.22%(15例)的婴儿于3个月内死亡;69.57%(16例)的婴儿是因肺炎、腹泻导致死亡;65.22%(15例)的婴儿死亡与HIV感染无关。结论喂养行为不当增加了暴露婴儿死亡风险,应加强喂养指导,通过开展居民健康教育,提升医疗机构服务能力等措施促进暴露婴儿患病后对医疗服务的利用;应进一步推广婴儿疾病综合管理适宜技术,采取综合性手段降低婴儿肺炎和腹泻的发病率和死亡率。
Objective To understand the death and causes of infants born in HIV-positive pregnant women in Meigu county. Methods Twenty-three infants born from HIV-positive pregnant women in Meigu county of Sichuan province from January 2011 to December 2013 were analyzed for oral death by using the verbal autopsy (VA) method. Results Among the 23 babies, 6 infants were mixed and in severe condition. Seventeen were fed insecurely and their complementary feeding was premature. 86.96% (20) infants died at home; 65.22% (15 infants) died within 3 months; 69.57% (16 infants) died of pneumonia and diarrhea; 65.22% (15 infants) Infant death has nothing to do with HIV infection. Conclusion Improper feeding behavior has increased the risk of infant mortality. Guidance should be given to increase feeding, health education should be carried out to improve the service capacity of medical institutions and other measures to promote the utilization of medical services after exposure to infants; the appropriate management of infant diseases should be further popularized , Adopt a comprehensive approach to reduce the incidence and mortality of pneumonia and diarrhea in infants.