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目的 调查分析云南省医务人员对HIV/AIDS垂直传播的知识态度 ,为开展医务人员HIV/AIDS专业知识培训 ,开展HIV/AIDS垂直传播阻断提供依据。方法 选择省地县三级 ,HIV/AIDS感染率高、中、低四个城市医务人员共 834人 ,对HIV/AIDS垂直传播知识态度及职业暴露中的自我防护等进行不记名问卷调查。结果 98%医务人员知道HIV可经胎盘传给婴儿 ,76 1%～ 97%的医务人员认为应在婚检、产检中进行HIV检测 ;4 3 3%的医务人员知道可以用药物来降低垂直传播机率 ;5 5 4 %的医务人员认为剖宫产可降低传播率 ;有 73 5 %的医务人员愿意为HIV感染孕妇进行剖宫产 ;有 5 6 4 %的医务人员知道如何处理暴露伤口。结论 多数人认为应将HIV检测列入常规婚检、产检。但对HIV孕产妇垂直传播的预防、治疗以及在职业暴露中如何自我防护认知率有待提高。
Objective To investigate and analyze the knowledge and attitude of medical staff in Yunnan province on the vertical transmission of HIV / AIDS and provide evidence for carrying out HIV / AIDS professional knowledge training for medical staff and carrying out vertical transmission of HIV / AIDS. Methods A total of 834 medical staffs were selected from three prefectures and counties with high rates of HIV / AIDS infection in the middle and low cities to conduct an anonymous questionnaire survey on the knowledge and attitudes of HIV / AIDS vertical transmission and self-protection in occupational exposure. Results 98% of medical staff knew that HIV could be transmitted to infants through placenta, 76 to 97% of medical staff believed that HIV should be tested during premarital examination and childbirth examination; 43.3% of medical personnel knew that drugs could be used to reduce the probability of vertical transmission ; 54.4% of medical staffs think that cesarean delivery can reduce the transmission rate; 73.5% of medical staffs are willing to carry out cesarean delivery for HIV-infected pregnant women; and 56.4% of medical staff know how to deal with exposed wounds. Conclusion Most people think HIV testing should be included in the regular premarital examination, birth control. However, the prevention and treatment of HIV vertical transmission of maternal and how to self-protection in occupational exposure need to be improved.