2008 - 2014年四川省凉山州某高流行县预防艾滋病母婴传播效果分析

目的 评价四川省凉山州某高流行县预防艾滋病母婴传播工作的开展情况及母婴阻断效果，为今后的工作开展提供科学依据。 方法 通过预防艾滋病母婴传播网络直报信息系统，收集2008 - 2014年孕产妇HIV检测、感染情况，阳性孕产妇及所生儿童相关信息，并用SPSS20.0软件进行统计分析。 结果 2008 - 2014年全县孕产妇HIV抗体总检测率为61.76％，共发现686例阳性孕产妇，孕产妇HIV感染率为4.35%。分娩的阳性孕产妇中抗病毒药物用药率为66.96%。分娩活产婴儿599例，新生儿抗病毒用药率为62.94%。对HIV阳性孕产妇所生儿童进行随访，人工喂养率为88.78%，母婴传播率为14.15%。 结论 7年间，研究地区母婴传播干预措施落实情况有所提高，但仍存在薄弱环节，需加强孕产妇早期咨询检测工作，落实孕产妇及所生儿童的随访管理，以确切评价预防工作效果。

Analysis on the effectiveness of PMTCT prevention in an epidemic county of Lianghshan prefecture,Sichuan province from 2008 to 2014

Objective The aim of this study was to investigate the effectiveness of prevention of the mother-to-child transmission of HIV (PMTCT) in an epidemic county of Lianghshan prefecture, in order to provide a scientific basis for further implementing the work. Methods Tthe data of HIV examination, infection status, condition of HIV-positive pregnant women and their children from 2008 to 2014 from the PMTCT management system. Results In the research site, the total detection rate of HIV antibody in pregnant women from 2008 to 2014 was 61.76%. And 686 pregnant women were diagnosed with HIV-positive, with the rate of 4.31%. The proportion of HIV-positive pregnant women who took anti-HIV drugs was 66.96%, while the rate of their infants was 63.69% among the 599 cases of live births. And the mother-to-child transmission rate of HIV was 2.84%. Conclusion The intervention measures were effective in the research site, but there were still weak links. The early pregnancy antibody testing and the follow-up management of pregnant women and their children should be taken to block mother-to-child transmission of HIV in Lianghshan prefecture.