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目的分析2011-2015年襄阳市预防艾滋病、梅毒母婴传播效果,为制定本地区“十三五”行动计划提供依据和参考。方法应用国家“预防艾滋病、梅毒、乙肝母婴传播管理信息系统”数据进行整理、分析。结果孕产妇HIV抗体检测率98.54%、梅毒检测率82.27%、接受综合干预服务后的孕产妇艾滋病母婴传播率0.00%、感染HIV产妇所生婴儿抗病毒药物的应用比例96.77%、先天梅毒5年报告1例;HIV抗体阳性孕产妇抗病毒治疗比例70.21%、感染梅毒的孕产妇接受规范诊疗比例36.11%。结论襄阳市“十二五”预防艾滋病、梅毒母婴传播效果比较显著。关口前移、链条式服务流程的建立值得继续实践。但HIV抗体阳性孕产妇抗病毒治疗比例及感染梅毒的孕产妇接受规范诊疗比例未达到“十二五”规定的目标,感染梅毒的孕产妇及所生儿童治疗、随访工作需进一步规范。
Objective To analyze the effect of preventing mother-to-child transmission of AIDS and syphilis in Xiangyang from 2011 to 2015 and provide the basis and reference for formulating the “13th Five-year Plan” for this region. Methods National “AIDS prevention, syphilis, hepatitis B mother to child transmission management information system ” data to organize and analyze. Results The detection rate of HIV antibody in pregnant women was 98.54%, the detection rate of syphilis was 82.27%. The rate of mother-to-child transmission of pregnant women was 0.00% after receiving comprehensive intervention services. The proportion of HIV-infected pregnant women born with HIV was 96.77%, congenital syphilis 5 Year report; 1 case of HIV antibody-positive pregnant women anti-virus treatment 70.21%, pregnant women infected with syphilis received standardized treatment ratio of 36.11%. Conclusion Xiangyang City, “Twelve-Five” to prevent AIDS, syphilis mother-to-child transmission effect is more significant. Marks move forward, the establishment of chain service process is worth continuing practice. However, the proportion of HIV-positive pregnant women with antiviral treatment and the standard treatment of pregnant women receiving syphilis did not reach the target set in the “Twelfth Five-Year Plan”. Pregnant women and children born with syphilis were treated for further follow-up work.