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预防医学  2017, Vol. 29 Issue (6): 579-582    DOI: 10.19485/j.cnki.issn1007-0931.2017.06.009
  论著 本期目录 | 过刊浏览 | 高级检索 |
浙江省HIV感染再生育孕产妇特征及妊娠结局分析
胡崇高1, 邱丽倩2, 徐玮3, 张晓辉2
1. 浙江省疾病预防控制中心,浙江 杭州 310051;
2. 浙江大学医学院附属妇产科医院;
3. 浙江省卫生和计划生育委员会
An analysis on the demographic characteristics and pregnant outcomes of the reproductive women with HIV infection
HU Chong-gao, QIU Li-qian, Xu Wei, ZHANG Xiao-hui
The Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang,310051,China
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摘要 目的 了解浙江省艾滋病病毒(HIV)感染再生育孕产妇特征和妊娠结局,为及时有效地开展艾滋病母婴传播阻断干预提供依据。方法 收集2010—2014年浙江省预防艾滋病母婴传播直报系统HIV感染孕产妇个案资料,根据分娩情况分为初次生育孕产妇和再生育孕产妇,比较两组的人口学特征及妊娠结局。结果 2010—2014年浙江省累计报告孕产妇3 310 646人,确证HIV感染孕产妇920例,孕产妇HIV感染率为0.03%。其中再生育孕产妇463例,占50.33%;浙江省91个县(市、区)中有59个(64.84%)报告HIV感染再生育孕产妇,其中31个县(市、区)(34.07%)HIV感染再生育孕产妇比例为(1.98~8.45)/万。HIV感染再生育孕产妇年龄、少数民族比例、农民及家务待业比例、已婚比例、外地户籍比例、性伴HIV感染阳性比例及孕次均高于HIV感染初次生育孕产妇,而文化程度及孕前确证HIV感染比例均低于HIV感染初次生育孕产妇(均P<0.05)。HIV感染再生育和初次生育孕产妇死胎发生率分别为1.60%和0.75%,早产或低出生体重儿分别为8.51%和6.72%,差异均无统计学意义(P>0.05)。确证HIV感染婴儿5例,均来自HIV感染再生育孕产妇。结论 浙江省HIV感染再生育孕产妇占HIV感染孕产妇的50.33%,具有年龄偏大、文化程度较低、外地户籍比例高等特征,所生育婴儿中有5例确证HIV感染。
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胡崇高
邱丽倩
徐玮
张晓辉
关键词 艾滋病病毒孕产妇再生育妊娠结局    
AbstractObjective To explore the demographic characteristics and pregnant outcomes of the reproductive women with HIV infection. Methods A retrospective study was conducted based on surveillance of provincial HIV positive pregnant women during 2010-2014. All HIV infected women were enrolled. We compared their characteristics and pregnant outcomes in different groups according to their delivery history. Results The overall HIV prevalence among pregnant women was 0.03%(843/3 310 646)in this study. Among them, the proportion of HIV reproductive women was 50.33%. 59 out of 91(64.84%)areas were reported with reproductive HIV women. The number of areas for reproductive HIV women per 10000 pregnant women was 1.98-8.45 for 31 areas. The obvious differences were observed in the distribution of age, minority, education, marriage, birth place, gravidity, sex partner infection status, time of diagnose between the two groups. No significant differences were found in proportion of stillbirths, low birth weight or preterm birth between the two groups. Totally, 5 infants were identified with HIV infections, who were all delivered by reproductive women. Conclusion HIV reproductive women were with advanced age, low education and non-local residents and so on, and 5 infants were identified with HIV infections in this study.
Key wordsHIV    Pregnant women    Reproduction    Pregnant outcomes
     出版日期: 2017-10-25
ZTFLH:  R512.91  
通信作者: 张晓辉,E-mail:zjfb_amy@zju.edu.cn   
作者简介: 胡崇高,硕士,副主任医师,主要从事公共卫生管理工作
引用本文:   
胡崇高, 邱丽倩, 徐玮, 张晓辉. 浙江省HIV感染再生育孕产妇特征及妊娠结局分析[J]. 预防医学, 2017, 29(6): 579-582.
HU Chong-gao, QIU Li-qian, Xu Wei, ZHANG Xiao-hui. An analysis on the demographic characteristics and pregnant outcomes of the reproductive women with HIV infection. Preventive Medicine, 2017, 29(6): 579-582.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn1007-0931.2017.06.009      或      http://www.zjyfyxzz.com/CN/Y2017/V29/I6/579
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