CAJ | 학술논문

目的比较分析孕产妇及婚前医学检查人群艾滋病单项防治成本与艾滋病、乙型肝炎(乙肝)及梅毒综合防治的投入成本费用.方法对湖北和新疆3县市部分孕产妇和婚前医学检查(婚检)人群进行HIV、HBV及梅毒螺旋体(TP)检测,并采取阻断母婴传播的措施及相关医学建议;对检测结果及投入成本做比较分析.结果 3县市孕产妇检测HIV抗体13 280人,阳性111例,阳性率为8.4‰;检测HBsAg 13 186人,阳性711例,阳性率54‰;检测TP抗体12 401人,阳性159例,阳性率12.8‰.3种疾病检出率73.8‰.婚检人群检测HIv抗体26 324人,阳性464例,阳性率17.6‰;检测HBsAg19 152人,阳性1826例,阳性率95.3‰;检测TP抗体19 099人,阳性355例,阳性率18.6‰;3种疾病检出率131.5‰,显著高于HIV检出率.但孕产妇综合防治费仅为HIV防治费的1.4倍,婚检综合防治费仅为HIV防治费的1.8倍.结论对孕产妇及婚检人群进行HIV、HBV及TP的综合防治,易被接受,可提高防治效率.
목적 비교분석잉산부급혼전의학검사인군애자병단항방치성본여애자병、을형간염(을간)급매독종합방치적투입성본비용.방법 대호북화신강3현시부분잉산부화혼전의학검사(혼검)인군진행HIV、HBV급매독라선체(TP)검측,병채취조단모영전파적조시급상관의학건의;대검측결과급투입성본주비교분석.결과 3현시잉산부검측HIV항체13 280인,양성111례,양성솔위8.4‰;검측HBsAg 13 186인,양성711례,양성솔54‰;검측TP항체12 401인,양성159례,양성솔12.8‰.3충질병검출솔73.8‰.혼검인군검측HIv항체26 324인,양성464례,양성솔17.6‰;검측HBsAg19 152인,양성1826례,양성솔95.3‰;검측TP항체19 099인,양성355례,양성솔18.6‰;3충질병검출솔131.5‰,현저고우HIV검출솔.단잉산부종합방치비부위HIV방치비적1.4배,혼검종합방치비부위HIV방치비적1.8배.결론 대잉산부급혼검인군진행HIV、HBV급TP적종합방치,역피접수,가제고방치효솔.
Objective To evaluate the effect of comprehensive prevention programs on HIV,HBV and syphilis transmission from mother to child and between premarital couples. Methods HIV, HBV and syphilis were screened among pregnant women with interventional measure for infected women; HIV, HBV and syphilis (TP) were screened among premarital couples with medical advice. Results The HIV,HBsAg and TP positive rates were 8.4‰(111/13 280) ,54‰(711/13 186)and 12.8‰( 159/12 401 ) respectively among pregnant women and the total positive rate of the three diseases was 73.8‰ which was significantly higher than HIV positive rate (P＜0.001). The positive rates of HIV, HBsAg and TP were 17.6‰(464/26 324), 95.3‰( 1826/19 152) and 18.6‰(355/19 099) respectively among premarital couples and the total positive rate of the three diseases was 131.5‰ which was significantly higher than HIV positive rate alone (P＜0.001).Comprehensive prevention was more economical than prevention for HIV alone. Conclusion The comprehensive strategies for prevention of HIV, HBV and syphilis was feasible, effective and economical that could help to actively conduct the preventive measures.