北京市东城区2014—2019年艾滋病、梅毒、乙肝母婴传播情况分析  

Analysis of mother-to-child transmission of AIDS,syphilis and hepatitis B in Dongcheng district of Beijing from 2014 to 2019

作　　者：石佳立 刘亚兰 SHI Jiali;LIU Yalan(Maternal and Child Health and Family Planning Service Center of Dongcheng District in Beijing,Beijing 100007,China)

机构地区：[1]北京市东城区妇幼保健计划生育服务中心,北京100007

出　　处：《中国妇幼健康研究》2020年第9期1185-1189,共5页Chinese Journal of Woman and Child Health Research

摘　　要：目的分析北京市东城区2014—2019年预防艾滋病、梅毒和乙肝母婴传播的数据,了解这三种疾病的孕产妇检测、感染及治疗情况,为后续工作的开展提供科学依据。方法利用国家预防艾滋病、梅毒和乙肝母婴传播管理信息系统、北京妇幼二期信息系统的资料,分析孕产妇艾滋病、梅毒和乙肝母婴传播情况。结果 2014—2019年东城区孕产妇共51 082人,孕期艾滋病、梅毒和乙肝检测共50 920人,检测率为99.68%;产时检测162人,检测率为0.32%。2014—2019年东城区孕产妇艾滋病、梅毒和乙肝孕期检测率呈现先上升后下降的趋势,差异无统计学意义(P>0.05),而产时检测率呈现先下降后上升的趋势,差异有统计学意义(χ^2=4.732,P<0.05)。HIV检测阳性0人,检测阳性率为0;梅毒检测阳性5人,孕期规范治疗3人,未规范治疗2人,2014—2019年梅毒检测阳性率在0.01%~0.03%稳定范围内波动,差异无统计学意义(P>0.05);乙肝检测阳性407人,乙肝检测阳性率呈现先上升后下降的趋势,差异有统计学意义(χ^2=6.780,P<0.05)。2014—2019年东城区乙肝检测阳性产妇所分娩儿童乙肝免疫球蛋白注射率为98.56%;乙肝检测阳性产妇所分娩儿童乙肝免疫球蛋白注射率,除了2014年为93.85%和2016年为96.92%外,其余年份均达到了100%,但差异无统计学意义(χ^2=0.059,P>0.05)。结论 2014—2019年东城区孕产妇艾滋病、梅毒和乙肝检测情况处于较高水平,艾滋病、梅毒和乙肝三病检测阳性率在稳定范围内波动。梅毒孕妇应重视孕期的规范治疗,对乙肝检测阳性产妇所分娩儿童应及时注射免疫球蛋白,从而降低母婴传播的风险。Objective Analyzing the data of prevention of mother-to-child transmission of AIDS,syphilis and hepatitis B in Dongcheng district of Beijing from 2014 to 2019,so as to understand the detection,infection and treatment of pregnant women with these three diseases,and provide scientific basis for follow-up work.Methods The data of national information system for the prevention of mother-to-child transmission of AIDS,syphilis and hepatitis B,and phase Ⅱ of the information system of maternal and child health care network in Beijing was used to analyze the transmission of AIDS,syphilis and hepatitis B among pregnant and pregnant women.Results From 2014 to 2019,among 51 082 pregnant women,a total of 51 082 pregnant women in Dongcheng district were tested for HIV,syphilis and hepatitis B during pregnancy,with a detection rate of 99.68%.162 women were detected during labor,and the detection rate was 0.32%.From 2014 to 2019,the pregnancy detection rate of HIV,syphilis and hepatitis B in pregnant women in Dongcheng district showed a trend of first increasing and then decreasing,with no statistically significant difference(P>0.05).While the prenatal detection rate showed a trend of first decreasing and then increasing with statistically significant difference(χ^2=4.732,P<0.05).There were 0 HIV positive women,the positive rate was 0.There were 5 patients with positive syphilis test,3 patients received standard treatment during pregnancy,and 2 patients did not receive standard treatment.The positive rate of syphilis test from 2014 to 2019 fluctuated within a stable range of 0.01%-0.03%,with no statistically significant difference(P>0.05).Among the 407 parturient women with positive hepatitis B surface antigen,the positive rate of hepatitis B test showed a trend of increasing first and then decreasing,and the difference was statistically significant(χ^2=6.78,P<0.05).From 2014 to 2019,the hepatitis B immunoglobulin injection rate of HBV-positive pregnant women in Dongcheng district was 98.56%.The injection rate of hepatitis B

关 键 词：艾滋病 梅毒 乙肝 母婴传播 

分 类 号：R714.251[医药卫生—妇产科学]