CAJ | 학술논문

目的：对艾滋病母婴阻断技术在该市的应用效果进行评价。方法在全市开展艾滋病母婴阻断技术应用研究，对参加孕检的女性同时进行艾滋病咨询检测，对确证感染人类免疫缺陷病毒（HIV）的孕妇进行艾滋病母婴阻断：母亲及所生婴儿按艾滋病母婴阻断技术方案应用抗逆转录病毒药物、安全助产和喂养指导等。结果5年全市孕妇平均艾滋病咨询检测率99．1％（176001／177738），检出 HIV抗体阳性孕妇269例，阳性率0．15％（269／176001）。通过卫生咨询，在告知艾滋病的危害及传播方式、预防措施后，确诊为艾滋病感染的孕妇最后自愿选择终止妊娠的有67例，选择生育的有202例。将选择生育的202例孕妇纳入艾滋病母婴阻断系统管理，其中有192例按疗程足量服用抗逆转录病毒药物，孕妇服药率为95．05％（192／202）；活产婴儿202例，按疗程足量服用抗逆转录病毒药物192例，婴儿服药率95．05％（192／202）；对出生婴儿满42 d和3个月时进行艾滋病早期诊断，检出阳性1例，检出率0．50％；已有118例出生满18个月婴儿进行 HIV抗体检测，未捡出 HIV抗体阳性者。结论在孕检女性中同时进行艾滋病咨询检测很有必要，对艾滋病孕妇及所生婴儿采取艾滋病母婴阻断综合性预防措施，是预防艾滋病母婴传播的有效方法。
목적：대애자병모영조단기술재해시적응용효과진행평개。방법재전시개전애자병모영조단기술응용연구，대삼가잉검적녀성동시진행애자병자순검측，대학증감염인류면역결함병독（HIV）적잉부진행애자병모영조단：모친급소생영인안애자병모영조단기술방안응용항역전록병독약물、안전조산화위양지도등。결과5년전시잉부평균애자병자순검측솔99．1％（176001／177738），검출 HIV항체양성잉부269례，양성솔0．15％（269／176001）。통과위생자순，재고지애자병적위해급전파방식、예방조시후，학진위애자병감염적잉부최후자원선택종지임신적유67례，선택생육적유202례。장선택생육적202례잉부납입애자병모영조단계통관리，기중유192례안료정족량복용항역전록병독약물，잉부복약솔위95．05％（192／202）；활산영인202례，안료정족량복용항역전록병독약물192례，영인복약솔95．05％（192／202）；대출생영인만42 d화3개월시진행애자병조기진단，검출양성1례，검출솔0．50％；이유118례출생만18개월영인진행 HIV항체검측，미검출 HIV항체양성자。결론재잉검녀성중동시진행애자병자순검측흔유필요，대애자병잉부급소생영인채취애자병모영조단종합성예방조시，시예방애자병모영전파적유효방법。
Objective To evaluate the application of prevention technique for mother‐to‐child transmission of human immunode‐ficiency virus(HIV) in Laibin City .Methods Prevention techniques for mother‐to‐child transmission of HIV were applicated in the city .Women in pregnancy test received acquired immunodeficiency syndrome(AIDS) counseling and test at the same time .Measures were taken to prevent the mother‐to‐child transmission of HIV for women who confirmed HIV positive ,including the use of antiret‐roviral drugs ,safety midwifery and feeding guidance ,and so on .Results The average HIV counseling and testing rate was 99 .1%(176 001/177 738) for the past 5 years .269 cases were HIV positive ,and the positive rate was 0 .15% (269/176 001) .Via health advisory guidance ,pregnant women diagnosed with AIDS understood the dangers of AIDS and the mode of its transmission ,and then free to chose weather to have the pregnancy terminated .Finally ,there were 67 pregnant women chose to terminate the preg‐nancy ,and 202 women decided to have children who were included in the prevention management system of mother‐to‐child trans‐mission .202 infants were born alive ,192 of which took full amount of antiretroviral drugs .The medication rate was 95 .05% (192/202) .42 d and 3 months after birth ,early diagnosis of HIV/AIDS was performed for the infants ,the positive rate of HIV was 0 .50% (1/202) .There were 118 infants at least 18‐months‐old who had underwent HIV test and no positive case was detected . Conclusion AIDS counseling tests in pregnancy test women is necessary ,which could detect HIV positive women .Comprehensive measures are effective methods for the prevention of mother‐to‐child transmission .