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目的了解河南省农村地区艾滋病病毒(HIV)感染母亲分娩婴幼儿的营养状况。方法使用WHO的Anthro 2010软件,分别计算160名婴幼儿在满1、3、6、9、12、18月龄的年龄别体重、年龄别身高、身高别体重Z值评分,以WHO参考人群为标准评估婴幼儿的营养状况。结果共调查满18月龄存活婴幼儿160人,其中HIV阳性婴幼儿32例,HIV阴性婴幼儿128人;除3月龄以外,HIV阳性婴幼儿低体重发病率均高于HIV阴性婴幼儿(P<0.05);6、12、18月龄HIV阳性婴幼儿的生长发育迟缓率均高于HIV阴性婴幼儿(P<0.05);3月龄以后HIV阴性婴幼儿年龄别体重Z值(WAZ)增长趋势优于HIV阴性婴幼儿(P<0.05),随访期间阴性婴儿WAZ值为-0.59～0.79,阳性婴儿的WAZ值为-1.41～-0.04;年龄别身长Z值(HAZ)2组婴幼儿在9、18月龄差异均有统计学意义(P<0.05);随访期间阴性婴儿HAZ值为-1.22～-0.17,阳性婴儿HAZ值为-1.89～-0.90;HIV阳性产妇分娩的婴幼儿在多个月龄的体重、身高值与正常婴幼儿差异有统计学意义。结论河南省农村地区HIV阳性产妇分娩婴幼儿的营养不良发病率较高,HIV阳性婴幼儿更为严重。
Objective To understand the nutritional status of infants born to HIV mothers in rural areas of Henan Province. Methods According to WHO’s Anthro 2010 software, the age-specific weight, age-specific and height-weighted Z scores of 160 infants and toddlers at 1, 3, 6, 9, 12 and 18 months were calculated respectively. Standard assessment of infant nutrition status. Results Totally 160 infants and young children aged 18 months were investigated, including 32 HIV positive infants and 128 HIV negative infants. The incidence of low birth weight among HIV positive infants was higher than that of HIV negative infants (except 3 months old) P <0.05). The growth retardation rates of HIV positive infants at 6, 12 and 18 months were higher than that of HIV negative infants (P <0.05). After 3 months of age, The growth trend was better than that of HIV-negative infants (P <0.05). The WAZ value of negative infants was -0.59-0.79 during the follow-up period, while the WAZ value of positive infants was -1.41-0.04. The age- The difference was significant at 9 and 18 months (P <0.05). During the follow-up period, the HAZ value of negative infants was -1.22 ~ -0.17, while that of positive infants was -1.89 ~ -0.90. The infants born to HIV- Multiple months of age, height and normal infants and young children was statistically significant difference. Conclusion The incidence of malnutrition among infants and young children born in HIV-positive maternal areas in Henan Province is higher than that in HIV-positive infants and young children.