乌鲁木齐市11452名孕产妇HIV、TP、HBV和HCV感染情况分析

Analysis of infection with HIV, TP, HBV and HCV in 11452 pregnant and parturient women in Urumqi

目的了解新疆乌鲁木齐市汉族和少数民族孕产妇人类免疫缺陷病毒(HIV)、梅毒(TP)、乙型肝炎(HBV)和丙型肝炎(HCV)病毒的感染情况,以降低婴儿宫内感染,提高孕妇的健康水平。方法应用酶联免疫法(ELISA)检测11 452名汉族和少数民族孕产妇血清中的艾滋病抗体(HIVAb1+2型)、梅毒抗体(TPAb)、乙肝表面抗原(HBsAg)和丙肝抗体(HCVAb)。结果 11 452名孕产妇,HIV感染率为0.25%,其中汉族感染率0.03%,少数民族感染率0.71%;梅毒感染率为0.38%,其中汉族感染率0.12%,少数民族感染率0.89%;HBV和HCV感染率分别为3.79%和0.13%。结论对怀孕妇女应加强孕期保健及健康教育,提高其防病意识;定期进行常规传染病的监测,及时治疗或适时终止妊娠,切断母婴垂直传播,降低感染率,提高孕产妇的健康水平。

Objective To understand infection situation of human immunodeficiency virus （HIV）, syphilis （TP）, hepatitis B virus （HBV） and hepatitis C virus （HCV） in pregnant and parturient women of Hail nationality and minority in Urumqi, to decrease intrauterine infection of infants and increase health level of pregnant women. Methods ELISA was taken to de- tect for HIV Ab type 1 ＋2, TP Ab, HBs Ag, and HCV Ab of 11 452 pregnant and parturient women of Han nationality and mi- nority. Results Out of the 11 452 pregnant and parturient women, the infection rate was 0.25% for HIV （0.03% of Han na- tionality and 0.71% of minority）, 0.38% for TP （0.12% of Hall nationality and 0.89% of minority）, 3.68% and 0.13% for HBV and HCV, respectively. Conclusions Antenatal care and health education should be reinforced in pregnant and partu- rient women to increase consciousness of disease prevention. Contagious disease should be surveyed routinely and regularly. Prompt treatment and proper pregnancy termination should be performed to cut off vertical transmission from mother to in- fant, so as to lower infection rate and improve health level of pregnant and parturient women.