长沙市第一医院23例艾滋病母婴阻断效果分析
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王敏

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R512.91

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国家十二五成人艾滋病适宜治疗策略研究与应用项目(2012ZX10001003001)


Blocking efficacy of 23 cases of mother to child transmission of acquired immunodeficiency syndrome in the First Hospital of Changsha
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    摘要:

    目的观察人类免疫缺陷病毒(HIV)阳性孕妇母婴阻断效果,摸索适合开展的艾滋病母婴阻断预防模式。方法回顾性分析某院2005—2015年23例HIV阳性孕产妇的病例资料。结果23例HIV阳性孕产妇均接受了高效抗逆转录病毒治疗(HAART)及阻断HIV母婴传播综合干预服务。其中,12例HIV阳性患者接受HAART后怀孕,10例在孕早期(28周内)检出HIV阳性而接受HAART治疗,1例在孕28周后检出HIV阳性而接受HAART。23例HIV阳性孕妇均娩出正常新生儿,婴幼儿经随访检测均未感染HIV。结论对HIV阳性孕产妇进行HAART是阻断HIV母婴传播的关键,配合新生儿的预防性用药和人工喂养等干预措施,能有效地预防HIV母婴传播。由专科医生提供对HIV阳性孕产妇的HAART,配合妇幼保健医院提供产检、分娩及婴儿的预防性服药,这种相互转介的艾滋病母婴阻断模式有效率较高。

    Abstract:

    ObjectiveTo observe the blocking efficacy of mother to child transmission (MTCT) in pregnant women with positive human immunodeficiency virus(HIV), and explore proper MTCT blocking mode for acquired immunodeficiency syndrome.MethodsClinical data of 23 HIVpositive pregnant women in a hospital from 2005 to 2015 were retrospectively analyzed.ResultsAll 23 HIVpositive pregnant women received highly active antiretroviral therapy (HAART) and comprehensive intervention for blocking MTCT of HIV. Among these women, 12 got pregnant after receiving HAART, 10 were detected positive HIV in early pregnancy (within 28 weeks) and then received HAART, 1 was detected positive HIV 28 weeks after pregnancy and then received HAART. 23 HIVpositive pregnant women all delivered normal newborns, followup observation of babies found no HIV infection.ConclusionHAART for HIVpositive pregnant women is the key to block MTCT of HIV, combined with preventive medication and artificial feeding of newborns, HAART can effectively prevent MTCT. Mutual blocking mode, such as HAART for HIVpositive pregnant women by specialists, pregnancy checkup, and preventive medicine for infants provided by maternity and child care hospital, is highly efficiency.

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引用本文

刘纯,王敏,李晓萍.长沙市第一医院23例艾滋病母婴阻断效果分析[J]. 中国感染控制杂志,2017,16(4):355-358. DOI:10.3969/j. issn.1671-9638.2017.04.016.
LIU Chun, WANG Min, LI Xiaoping. Blocking efficacy of 23 cases of mother to child transmission of acquired immunodeficiency syndrome in the First Hospital of Changsha[J]. Chin J Infect Control, 2017,16(4):355-358. DOI:10.3969/j. issn.1671-9638.2017.04.016.

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  • 收稿日期:2016-05-08
  • 最后修改日期:2016-08-23
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  • 在线发布日期: 2017-04-28
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