2007～2011年广西艾滋病及艾滋病病毒感染孕产妇死亡状况调查分析

目的分析广西艾滋病（AIDS）及艾滋病病毒（HIV）感染孕产妇的死亡状况，为降低AIDS及HIV感染孕产妇死亡率提供依据。方法通过调查广西孕产妇死亡监测系统和预防艾滋病母婴传播网络直报信息系统资料，查阅孕产妇死亡报告卡、孕产妇死亡附卷、孕产妇死亡病历、AIDS及HIV感染孕产妇报告卡、随访卡以及有关实验室检测报告等资料，汇总分析AIDS及HIV感染孕产妇的死亡状况。结果2007—2011年广西AIDS及HIV感染孕产妇死亡率高达483．09／10万，是同期广西普通孕产妇死亡率的22．96倍。AIDS及HIV感染孕产妇死亡原因以机会性感染为主，最多见为肺部感染。AIDS及HIV感染孕产妇死亡的主要社会因素为低文化层次、贫困和保健水平低下。结论加强婚育妇女的HIV筛查，将HIV感染孕妇纳入高危妊娠管理范围，全面落实《全国预防艾滋病母婴传播工作实施方案》等措施，是降低AIDS及HIV感染孕产妇死亡率的有效途径。

An analysis on death situation of pregnant and parturient women with HIV-infection in Guangxi in 2007 - 2011

Objective To analyze the death situation of pregnant and parturient women with HIV-infection in Guangxi, in order to offer evidence to reduce the mortality rate of such people. Methods The data of maternal death was collected and analyzed by looking up maternal deaths report, attachments of maternal deaths, summary of mater- nal death records, report of HIV-infected pregnant women, follow-up cards, test results from laboratory and other ways. Results Between 2007 to 2011 ,the maternal mortality rate in pregnant and parturient women with HIV-infec- tion was 483.09/100 000, which was 22.96 times as that of the maternal mortality rate in Guangxi in the same peri- od. The mainly causes of death in pregnant and parturient women with HIV infection was opportunistic infection, most of which were pulmonary infection. The social factors of death in pregnant and parturient women with HIV-infection were low cultural level, poverty and low health care respectively. Conclusion Strengthening HIV screening to mar- ried women, putting pregnant women with HIV-infection into high risk pregnancy management scope and fully fulfil- ling《National implementation programme for preventing mother-to-child transmission》 will be effective ways to reduce the maternal mortality rate of pregnant and parturient women with HIV-infection.