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目的掌握云南省保山市结婚登记人群及孕产妇HIV感染状况,分析对HIV感染孕产妇实施预防艾滋病母婴传播干预措施的效果,查找问题,对下一步工作提出建议。方法对2004~2013年云南省保山市结婚登记人群及孕产妇HIV抗体检测资料和阳性孕产妇及其分娩婴儿实施综合干预措施情况进行分析。结果 2004~2013年共检测310 041人次结婚登记人群,检出713例HIV感染者,感染率为0.23%;检测338 257人次孕产妇,检出737例HIV感染者,感染率为0.26%。737例HIV感染孕产妇中75例选择终止妊娠,662例选择分娩并接受全部或部分干预措施。HIV感染孕产妇所分娩的662例婴儿中,死亡11例,失访5例。检测637例满18个月的幼儿,HIV抗体阳性12例,阴性625例。结论检测关口前移至结婚登记人群、对HIV感染孕产妇实施综合干预措施是降低HIV母婴传播的有效方法 。
Objective To understand the HIV status of married people and pregnant women in Baoshan City, Yunnan Province, and to analyze the effect of HIV / AIDS prevention and treatment of maternal and child transmission in HIV infected pregnant women, find out the problems and make recommendations for further work. Methods The data of HIV antibody test and pregnant women and their babies born in Baoshan City, Yunnan Province from 2004 to 2013 were analyzed. Results A total of 310 041 married marriages were detected between 2004 and 2013, and 713 HIV-infected persons were detected. The infection rate was 0.23%. A total of 338 257 pregnant women and 737 HIV-infected persons were detected. The infection rate was 0.26%. Of the 737 HIV-infected pregnant women, 75 chose termination of pregnancy and 662 chose delivery and received all or part of the intervention. Among 662 infants born to HIV-infected pregnant women, 11 died and 5 were lost to follow-up. Totally 637 children aged 18 months were tested positive for HIV antibody in 12 cases and negative in 625 cases. Conclusion It is an effective way to reduce the mother-to-child transmission of HIV by advancing the checkpoint to the married population and implementing comprehensive interventions for HIV-infected pregnant women.