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目的探讨艾滋病母婴阻断技术在来宾地区婚检、产检人群的临床应用提供科学依据。方法利用免费婚检、免费产检平台对婚检、产检人群进行艾滋病(HIV)咨询检测筛查,找岀艾滋病(HIV)感染者,对艾滋病(HIV)感染孕妇建议终止妊娠。坚持生育者对其及其所生婴儿进行母婴阻断干预,以避免艾滋病母婴传播发生。结果全市2011～2012年平均婚检率95.872(90 555/94 454)、平均产检率98.992(73 591/74 341);婚检、产检人群二年内检出艾滋病(HIV)阳性291例,检出阳性率0.182。其中检出艾滋病(HIV)阳性孕产妇103例,检出阳性率0.142。103例孕产妇中,巳终止妊娠18例、分娩活产79例、死胎1例、仍在孕5例。分娩活产孕产妇服用抗病毒药物76例,服药率96.20%,婴儿服用抗病毒药物77例,婴儿系统管理服药率97.47%,死亡婴幼儿1例,失访2例,阳性孕产妇所生婴幼儿产时未检岀(HIV)感染者。结论利用婚检、产检平台进行艾滋病咨询检测筛查,可以尽早发现艾滋病(HIV)感染者;对艾滋病(HIV)感染者建立档案并进行跟踪、开展婚育卫生指导、怀孕者建议终止妊娠,可避免艾滋病儿出生;坚持生育者进行艾滋病母婴阻断系统管理,对预防艾滋病母婴传播发生具有非常重要的意义。
Objective To explore the clinical application of HIV maternal and child occlusion technology in pre-marital and antenatal inspection in the guest area to provide scientific evidence. Methods Using free premarital examination and free antenatal examination platform to conduct prenatal and postnatal care, HIV / AIDS counseling and screening tests were conducted to find out HIV-infected people. Pregnant women with HIV infection were advised to terminate pregnancy. Adhere to the maternity infants and their mothers infants intervened to prevent mother-to-child transmission of HIV and AIDS. Results The average premarital examination rate was 95.872 (90 555/94 454) and the average detection rate was 98.992 (73 591/74 341) from 2011 to 2012. Among pre-marital and post-mortem examinations, 291 HIV positive cases were detected within 2 years, and the positive rate 0.182. Among them, 103 HIV positive pregnant women were detected and the positive rate was 0.142. Among the 103 pregnant women, 18 were terminated, 79 were still alive and 1 stillbirth were still in pregnancy. Delivery of live births pregnant women taking antiviral drugs in 76 cases, the rate of 96.20%, 77 cases of antiviral drugs in infants, infant system management rate of 97.47%, 1 case of infants and toddlers, 2 cases were lost, positive pregnant women Childhood non-detection of HIV infection. Conclusion The prenatal screening and antenatal examination platform for AIDS counseling and testing screening can detect HIV-infected persons as soon as possible. Establishing files and tracking of HIV-infected persons, initiating marriage and child health guidance, and pregnant women recommending termination of pregnancy can be avoided AIDS children were born; insist on maternal and childbirth of HIV maternal and child block system management, prevention of mother-to-child transmission of HIV has a very important significance.