引用本文:杨志娟,黄书亮.24例感染HIV孕产妇的母婴阻断措施应用研究[J].中国临床新医学,2009,2(9):902-905.
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24例感染HIV孕产妇的母婴阻断措施应用研究
杨志娟,黄书亮
533000 百色,广西百色市右江区人民医院检验科
摘要:
[摘要] 目的 了解孕产妇艾滋病病毒(HIV)感染状况,探索一条减少HIV母婴传播的有效途径。方法 为孕产妇提供免费咨询及HIV检测,对有生育意愿的HIV阳性孕妇采取综合性HIV母婴阻断措施。结果 为14 833名孕产妇提供免费咨询,咨询率为84.80%;为愿意接受免费检测服务的12 407名孕产妇提供HIV抗体检测,检测率70.93%,发现HIV阳性孕产妇24例,阳性率为0.19%;16名孕妇完成妊娠并产下16名婴儿,经综合性母婴阻断措施,16名婴儿HIV-DNA期诊断结果:15名为阴性,1名为阳性。结论 艾滋病病毒(HIV)可以在妇女妊娠、分娩或产后母乳喂养的过程中由感染孕、产妇传播给胎、婴儿;在儿童的HIV感染中,90%以上的感染是经母婴传播获得;采取综合性母婴阻断措施,能有效预防新生儿HIV感染。
关键词:  艾滋病病毒  HIV阳性孕产妇  母婴传播  干预措施
DOI:10.3969/j.issn.1674-3806.2009.09.05
分类号:R 512.91
基金项目:百色市科学研究与技术开发计划项目[编号:2005(8)]
The application research of interruption of maternal to child transmission of 24 pregnant women with HIV infection
YANG Zhi-juan, HUANG Shu-liang
The People′s Hospital of Youjiang Region, Baise 53300, China
Abstract:
[Abstract] Objective To study the infection status of HIV on pregnant women, and to explore an effect approaches to reduce maternal to child transmission with HIV.Methods Pregnant women were provided free counseling service and HIV testing, and adopting comprehensive measures of the interruption of maternal to child transmission of HIV to pregnant women who with HIV positive and willingness of child-bearing.Results Fourteen thousand,eight hundred and thirty-three pregnat women was provided free counseling service with a counseling rate of 84.80%, 24 out of 12 407 detected women were found HIV positive with a positive rate of 0.19%, and after opting comprehensive measures of the interruption of matemal to child transmission of HIV to pregnant women, 15 out of 16 infants who were born by 16 out of 24 HIV positive women showed HIV negative during a period of HIV-DNA.Conclusion HIV can be transmitted to fetus or infants during pregnancy, delivery and breast feeding, opting comprehensive measures of the interruption of matemal to child transmission of HIV to pregnant women can prevent HIV infection of newborn.
Key words:  HIV  HIV-positive mothers  Mother to child transmission  Interventions