昆明市2011-2013年艾滋病感染产妇母婴阻断病例回顾分析

摘要

[目的]了解昆明市艾滋病感染产妇母婴传播阻断（PMTCT）服务现况、存在问题及困难，为进一步调整艾滋病母婴传播阻断的工作方向，制定有针对性的服务策略提供依据。[方法]从国家妇幼卫生综合信息平台预防艾滋病、梅毒和乙肝网络管理系统中获取资料，对2011-2013年昆明市艾滋病感染产妇及其所生儿童阳性个案资料进行回顾性分析。[结果] HIV阳性产妇以云南省内流动为主（53.6%），文化程度以初中及以下为主（72.6%），二胎及以上生育占46.7%，服药率为94.5%，其所生儿童艾滋病确证检测结果为阴性的占93.4%。[结论] PMTCT工作成效显著，但艾滋病感染孕产妇孕早期服药率低（20.93%）。主要原因与孕早期HIV抗体检测率低（31.6%），孕产妇流动性大、文化低、保健意识差、躲避计划生育等有关。需提高孕早期HIV抗体检测率，加强医务人员的HIV抗体检测首诊负责制的落实。%Objective To understand current situation and problem of PMTCT services to HIV infectious delivery women so as to provided basis for making further adjustments and specific strategy. Methods Obtained the data from national health information system of preventing AIDS, syphillis and hepatitis B. Retrospective analyzed HIV infectious delivery women and their positive infants cases. Results 53.6% of HIV positive pregnant women were floating population in Yunnan province, 72.6% education level were under primary school, 46.7% had more than two children, 94.5% were received PMTCT and 93.4% of those delivered baby were negative.Conclusions PMTCT working efficiency was outstanding. But major problem revealed that it was low rate of taking PMTCT at early stage (20.93%), caused by low HIV screening rate during early pregnancy(31.6%), high floating rate, low education level, poor healthcare awareness and hiding family planning. It suggests that HIV antibody detection rate should be increased during early pregnancy and strengthen first diagnosis responsibility system of medical staffs as well.