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目的调查南阳市2011—2016年艾滋病母婴传播情况的发病情况,分析评价预防效果。方法采用回顾性调查的方法,对2005年全面开展预防艾滋病母婴传播工作后出生的病例进行回顾性调查,了解孕产妇的监测管理在预防母婴传播中的作用,分析药物阻断情况。结果截止2016年12月31日,南阳市艾滋病疫情网络直报系统中报告母婴传播病例186例,占总报告病例数的2.02%,大多报告于2005年以前,其后的11年时间总计报告47例;2011—2016年,孕产妇HIV检测率由93.04%提高到99.98%;2005年以后出生的47例母婴传播病例,因为没有采取阻断措施而造成母婴传播的有38例,占80.85%。结论实施综合预防控制措施,是阻断母婴传播的有效手段;加强HIV检测管理和检测技术人员培训,是预防艾滋病母婴传播的一个重要环节;要分发挥母婴保健网络作用,预防措施关口前移,早检测、早发现、早干预、早管理。
Objective To investigate the incidence of mother-to-child transmission of HIV / AIDS in Nanyang from 2011 to 2016, and to analyze and evaluate the prevention effect. Methods A retrospective survey was conducted to retrospectively investigate the cases born after mother-to-child transmission of HIV / AIDS prevention in 2005 in order to understand the role of maternal monitoring and management in preventing mother-to-child transmission and to analyze the situation of drug obstruction. Results As of December 31, 2016, 186 cases of mother-to-child transmission were reported in the Nanyang HIV / AIDS Network Direct Reporting System, accounting for 2.02% of the total reported cases, most of which were reported before 2005 and the following 11 years were reported in total 47 cases; from 2011 to 2016, the detection rate of maternal HIV increased from 93.04% to 99.98%; 47 cases of mother-to-child transmission after 2005 were not transmitted because there were 38 cases of mother-to-child transmission without taking blocking measures, accounting for 80.85%. Conclusion The implementation of comprehensive prevention and control measures is an effective way to prevent mother-to-child transmission. Strengthening the training of HIV testing management and testing technicians is an important link in preventing mother-to-child transmission of HIV / AIDS. The mother-infant health care network and preventive measures Move forward, early detection, early detection, early intervention, early management.