凉山州预防艾滋病母婴传播重点人群防治策略应用效果  

Application effect on key groups prevention and control of PMTCTof HIV in Liangshan State

作　　者：何丹[1] 刘伟信[1] 张刚[1] 高岩[1] 张燕[1] 彭竞 吴君梅 岳岑 颜舵 HE Dan;LIU Wei-xin;ZHANG Gang;GAO Yan;ZHANG Yan;PENG Jing;WU Jun-mei;YUE Cen;YAN Duo(Sichuan Provincial Maternity and Child Health Care Hospital,Chengdu 610045,Sichuan Province,China.;Liangshan Prefecture Maternity and Child Health Care Family Planning Service Center,Xichang 615000,Sichuan Province,China.)

机构地区：[1]四川省妇幼保健院,成都610045 [2]凉山州妇幼保健计划生育服务中心,四川西昌615000

出　　处：《预防医学情报杂志》2023年第5期502-506,512,共6页Journal of Preventive Medicine Information

基　　金：四川省科技计划重点研发项目(项目编号:2020YFS0425);四川省医学会课题(项目编号:S18051)。

摘　　要：目的总结凉山州第1轮艾滋病防治和健康扶贫攻坚期间预防艾滋病母婴传播的防治策略和措施,分析评估重点人群干预效果。方法采用文献回顾法收集凉山州2016—2021年预防艾滋病母婴传播防治策略和措施,HIV感染情况、关键人物访谈,评估HIV感染育龄妇女、男性单阳家庭育龄妇女、HIV感染孕产妇及所生儿童防治效果,采用SPSS 19.0软件对数据进行统计分析,检验水准α=0.05。结果新诊断报告的HIV感染孕产妇占比由2016年的46.2%下降至2021年的5.2%,感染孕产妇孕早期发现率提高至96.0%,感染育龄妇女抗病毒治疗覆盖率、感染育龄妇女孕情检测覆盖率、感染孕产妇孕早期抗病毒用药率、所生儿童抗病毒用药率、所生儿童6月龄内早期诊断率均呈逐年上升趋势(P<0.05)。结论通过4年多的艾防攻坚行动,凉山州最大限度做好感染育龄妇女和男性单阳家庭管理,不断完善感染孕产妇及所生儿童专案管理模式,新诊断报告的HIV感染孕产妇持续减少,感染孕产妇及所生儿童干预指标改善明显,艾滋病母婴传播有效遏制。Objective To summarize the strategies and measures of prevention and control on key groups of PMTCT,during the first round of AIDS prevention and health poverty alleviation in Liangshan Prefecture,and to analyze and evaluate the intervention effect on key population.Methods The strategies and measures of prevention and control for key groups of PMTCT of Liangshan Prefecture from 2016 to 2021 were collected by literature review method,data collection and interviews with key persons were used to evaluate the control effect of HIV-infected fertile woman,HIV single positive family,HIV-infected mothers and their children.SPSS 19.0 software was used for statistical analysis of the data,the test level wasα=0.05.Results The proportion of newly diagnosed HIV-infected mothers decreased from 46.2%to 5.2%between 2016 and 2021,the first-trimester discovery rate of HIV-infected mothers increased to 96.0%.The coverage rate of antivirus therapy and pregnancy test in infected fertile woman,the first-trimester use rate of anti-virus drugs in HIV-infected women,the anti-virus drugs use rate and the early diagnosis rate of their children within 6 months of age showed an increasing trend year by year(P<0.05).Conclusions Through the more than four years urgent action in Liangshan Pretecture,management for HIVinfected fertile woman and HIV single positive family was maximized carried on,the specially management mode of HIV-infected mothers and their children was constantly improved,the number of newly diagnosed HIV-infected mothers continues to decrease,the intervention indicators of HIVinfected mothers and their children have improved significantly,and the mother-to-child transmission of HIV has been effectively curbed.

关 键 词：艾滋病母婴传播 重点人群 防治策略 凉山州 

分 类 号：R512.91[医药卫生—内科学]