河北省预防艾滋病、梅毒和乙肝母婴传播工作现状与对策研究  

Study on the current status and countermeasures of prevention of mother-to-child transmission of AIDS,syphilis and hepatitis B in Hebei province

作　　者：钱立杰[1] 李华中[1] 许长田[1] 杨荣山 QIAN Lijie;LI Huazhong;XU Changtian(Hebei Maternal and Child Health Care Certer,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省妇幼保健中心,石家庄市050031

出　　处：《河北医药》2021年第18期2849-2853,2858,共6页Hebei Medical Journal

基　　金：中国性病艾滋病防治协会·艾伯维妇幼关爱及预防母婴传播基金项目(编号:2020PMTCT-W9b)。

摘　　要：目的分析河北省2020年实施预防艾滋病、梅毒和乙肝母婴传播工作取得的成效及存在问题,提出针对性建议。方法通过全省预防艾滋病、梅毒和乙肝母婴传播管理信息系统,收集2020年河北省孕产妇艾滋病、梅毒和乙肝检测、干预治疗等情况,分析河北省预防梅毒母婴传播工作服务措施落实情况现状。结果河北省2020年孕产妇艾滋病、梅毒和检测率、孕期检测率分别达到99%和98%以上。HIV阳性孕产妇抗病毒治疗率为84.38%,其中孕期用药率为85.19%,HIV阳性孕产妇所生儿童抗病毒用药率为90.63%,暴露儿童3月龄早诊率81.20%。梅毒感染孕产妇治疗率为81.20%。梅毒感染孕产妇所生儿童预防性治疗率54.78%。乙肝表面抗原阳性孕产妇所生儿童乙肝免疫球蛋白注射率为99.91。结论河北省孕产妇艾滋病、梅毒和乙肝“三病”检测率高,达到95%的项目目标要求,HIV阳性孕产妇、梅毒感染孕产妇用药率与及其所生儿童预防性治疗率与消除艾滋病梅毒母婴传播目标存在差距,感染孕产妇其所生儿童的治疗随访仍是我省近期预防母婴传播工作的重点难点。Objective To investigate the the current status and countermeasures of prevention of mother-to-child transmission of AIDS,syphilis and hepatitis B in Hebei province,and to propose the direction suggestion.Methods The data about the detection and intervention treatment in pregnant women and parturients with AIDS,syphilis,hepatitis B in 2020 in Hebei province were collected through the management information system of prevention of mother-to-child transmission of AIDS,syphilis,hepatitis B in Hebei province.Results The detection rate and the pregnancy detection rate pregnant women with HIV,syphilis,hephtitis B in 20202 in Hebei province were 99%and 98%.respectively.The antiviral treatment rate of HIV-positive women was 84.38%,in which,the medication rate was 85.19%,and the antiviral treatment rate of infants delivered by HIV-positive pregnant women was 90.63%,and the early diagnosis rate of exposed infants was 81.20%.The treatment rate of pregnant women and parturients with syphilis infection was 81.20%.The preventive treatment rate of infants delivered by pregnant women and parturients with syphilis infection was 54.78%.The injection rate of hepatitis B immunoglobulin in infants delivered by HbsAg positive pregnant women was 99.91%.Conclusion The detection rate of HIV,syphilis and hepatitis B is higher in Hebei province,which reaches 95%of project target requirements,but,there is a gap between the medication rate of HIV-positive pregnant women and and the goal of eliminating mother-to-child transmission,therefor,the treatment and follow up for the infected pregnant women and their infants are still the key and difficult point in the recent prevention of mother-to-child transmission in Hebei province.

关 键 词：孕产妇 母婴传播 措施 

分 类 号：R183[医药卫生—流行病学]