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目的分析预防艾滋病母婴传播(PMTCT)措施对新生儿出生体重的影响。方法将114例实施PMTCT措施的新生儿出生体重与正常新生儿比较,分析PMTCT措施对新生儿出生体重的影响。结果 114例新生儿出生体重平均(2.68±0.44)kg,胎龄平均(37.57±1.51)周,低于正常新生儿;低体重胎儿31人,低体重发生率27.19%。早产发生率16.67%、小于胎龄儿发生率(21.93%),均高于正常新生儿。孕前开始抗反转录病毒治疗(ART)的母亲所生新生儿体重平均(2.72±0.42)kg,孕期28周前开始ART母亲所生新生儿体重平均(2.63±0.46)kg,两者差异无统计学意义。结论 PMTCT措施可能使新生儿出生体重低,因此对实施PMTCT的孕母更需关注孕期保健,加强孕期营养以及选择合适的助产方式。
Objective To analyze the impact of preventing mother-to-child transmission of HIV (PMTCT) on newborn birth weight. Methods 114 newborns with PMTCT measures were compared with normal newborn infants to analyze the impact of PMTCT on newborn birth weight. Results The average birth weight of 114 newborns was (2.68 ± 0.44) kg, average gestational age was (37.57 ± 1.51) weeks, which was lower than that of normal newborns. The number of low birth weight fetus was 31, and the incidence of low weight was 27.19%. Premature birth rate was 16.67%, less than the incidence of gestational age (21.93%), were higher than normal newborns. The average weight of newborns born to mothers who started antiretroviral therapy (ART) before pregnancy was (2.72 ± 0.42) kg, and the weight of neonates born to ART mothers was (2.63 ± 0.46) kg before the start of pregnancy, with no difference between the two Statistical significance. Conclusions PMTCT may result in low birth weight. Therefore, it is necessary to pay more attention to the health care during pregnancy, strengthen the nutrition during pregnancy, and choose the appropriate midwifery method for PMTCT pregnant women.