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[目的]探索个旧市艾滋病母婴传播的流行病学特点,建立有效可行的母婴传播防控体系,规范各项预防措施,降低该地区艾滋病母婴传播发生率。[方法]采用建立预防HIV母婴传播协作网络,人员培训,规范的HIV抗体检测程序,统一的操作方法和药物阻断方案等方式,开展HIV母婴阻断。[结果]建立了以妇幼保健机构为核心,各医疗机构参与的预防艾滋病母婴传播模式;母婴阻断工作取得初步成效。[结论]通过婚检、孕期保健及医院分娩三个环节,在基层妇幼卫生网络的基础上形成妇幼保健机构、疾控部门、医疗卫生机构三位一体的防控体系是目前HIV母婴传播阻断最有效的方式;在艾滋病流行严峻地区,恢复强制性婚检是极为必要的。
[Objective] To explore the epidemiological characteristics of mother-to-child transmission of AIDS in Gejiu City, establish an effective and feasible prevention and control system of maternal-to-child transmission, regulate various precautionary measures and reduce the incidence of mother-to-child transmission of HIV / AIDS in this area. [Methods] With the establishment of a collaborative network to prevent mother-to-child transmission of HIV, personnel training, a standardized HIV antibody testing program, a unified method of operation and a drug blocking program, etc., the mother-child blockage of HIV was conducted. [Results] The mother-to-child transmission model of HIV / AIDS prevention with mother and child care institutions as the core and various medical institutions was established. Initial results were achieved in the mother-infant blockage work. [Conclusion] The three-in-one prevention and control system for maternal and child health institutions, disease control departments and medical and health institutions is the most effective way to prevent mother-to-child transmission of HIV through premarital examination, pregnancy health care and hospital childbirth. Way; in the severe AIDS epidemic area, the resumption of mandatory premarital examination is extremely necessary.