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目的了解湖南省2010-2013年预防艾滋病母婴传播工作的开展情况,发现项目开展过程存在的问题和困难,为下一步项目工作的开展提供科学依据。方法从预防艾滋病母婴传播管理系统中收集2010-2013年全省住院分娩产妇的HIV检测情况、阳性孕产妇和所生婴儿的相关情况进行统计分析。结果 2010-2013年湖南省住院分娩产妇的HIV抗体总检测率为88.37%,由2010年的69.53%上升到2013年的98.36%,差异有统计学意义(P=0.00),发现525例阳性孕产妇,孕产妇感染率为1.84/万。阳性孕产妇的用药率为47.37%,接受了转介服务孕产妇为20.57%。分娩活产婴儿347例,其中进行人工喂养的为93.66%,婴儿进行抗病毒用药率为63.69%,阳性孕产妇所生婴儿早期诊断阳性率为6.54%。结论湖南省预防艾滋病母婴传播干预措施落实情况逐年提高,艾滋病母婴传播水平显著下降,孕产妇的用药率及相关转介服务,儿童的随访管理工作质量仍为工作中的薄弱环节。
Objective To understand the situation of mother-to-child transmission of HIV / AIDS in Hunan Province from 2010 to 2013 and to find out the problems and difficulties in the process of project implementation so as to provide a scientific basis for the next project. Methods From 2010 to 2013, the HIV / AIDS-infected mother-to-child transmission management system in the province was collected for statistical analysis of the HIV status of pregnant women in hospitalized delivery, positive pregnant women and infants born. Results The total detection rate of HIV antibody in hospitalized delivery women in Hunan Province during the period from 2010 to 2013 was 88.37%, up from 69.53% in 2010 to 98.36% in 2013 (P = 0.00), and found 525 positive pregnant women Maternal, maternal infection rate was 1.84 / million. Positive maternal medication rate was 47.37%, received referral service maternal 20.57%. The number of live birth babies was 347, of which 93.66% were for artificial feeding and 63.69% for infants. The positive rate of early infant birth diagnosed by positive pregnant women was 6.54%. Conclusion The implementation of interventions to prevent mother-to-child transmission of HIV / AIDS in Hunan Province has been increasing year by year with a marked decrease in the level of mother-to-child transmission of HIV / AIDS. The quality of follow-up and management of maternal drug use and related referrals remains a weak link in the work.