2018-2022年淄博市预防艾滋病、梅毒和乙肝母婴传播实施效果研究

Research on the Implementation Effect of Preventing Mother-to-child Transmission of AIDS,Syphilis and Hepatitis B in Zibo City from 2018 to 2022

目的研究2018—2022年淄博市预防艾滋病、梅毒和乙肝母婴传播工作实施效果。方法提取2018-2022年淄博市工作月报表及个案卡信息,分析艾滋病、梅毒和乙肝检测率、阳性检出率、治疗率及干预效果等。结果淄博市分娩产妇均在孕产期接受艾梅乙检测,孕期检测率呈上升趋势,差异有统计学意义(P<0.001);梅毒孕产妇阳性检出率2.03‰,呈上升趋势;乙型病毒性肝炎(Viral Hepatitis Type B,HBV)阳性检出率2.55%,呈下降趋势;艾滋病病毒(Human Immunodeficiency Virus,HIV)感染孕产妇及所生儿童抗HIV用药率均为100%;梅毒感染孕产妇治疗率及所生儿童预防性治疗率呈上升趋势,差异有统计学意义(P<0.001);HIV母婴传播率为0,先天梅毒报告发病率为1.56/10万活产;乙肝母婴传播率为0.68%。结论全市预防母婴传播工作成效明显,但仍需继续努力,为消除母婴传播工作奠定基础。

Objective To study the implementation effect of Zibo City's prevention of mother-to-child transmission of AIDS,syphilis and hepatitis B from 2018 to 2022.Methods Extract the Zi bo city's monthly work reports and case card information from 2018 to 2022,and analyze the detection rate,positive detection rate,treatment rate and inter-vention effect.Results In Zibo City,all pregnant women received Aimeb detection during pregnancy,and the detec-tion rate during pregnancy showed an increasing trend,the difference was statically significant(P<0.001).The positive rate of syphilis in pregnant women was 2.03‰,which showed an increasing trend;the positive rate of Viral hepatitis type B(HBV)decreased by 2.55%;the rate of anti-HIV drugs for pregnant women and children with Human immuno-deficiency virus(HIV)infection was 100%.The rate of treatment of syphilis infected pregnant women and the rate of prophylactic treatment of children was increasing,the difference was statically significant(P<0.001).The mother-to-child transmission rate of HIV was 0,and the reported incidence of congenital syphilis was 1.56/100,000 live births.The mother-to-child transmission rate of hepatitis B was 0.68%.Conclusion The prevention of mother-to-child transmission in the city has achieved remarkable results,but it is still necessary to continue efforts to lay the founda-CHINA HEALTH INDUSTRY tion for the elimination of mother-to-child transmission.