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预防艾滋病母婴传播关口前移
时间： 2010-07-18 01:37:26 来源： 太原日报 董奇光
关键词： 母婴传播 艾滋病母婴 艾滋病感染者 预防艾滋病 农村育龄妇女
内容摘要: 7月16日，由省妇幼保健院主任医师董燕等承担的省科技攻关项目“山西省跨省婚姻中的农村育龄妇女艾滋病检测与综合防治研究”课题，通过了由省科技厅组织的专家鉴定。该课题组在参加“全国艾滋病综合防治示范区项目”等实践中发现，目前山西省的艾滋病母婴传播途径主要来自跨省婚姻中的农村育龄妇女。
本报讯 7月16日，由省妇幼保健院主任医师董燕等承担的省科技攻关项目“山西省跨省婚姻中的农村育龄妇女艾滋病检测与综合防治研究”课题，通过了由省科技厅组织的专家鉴定。
该课题组首次对山西省跨省婚姻中的农村育龄妇女艾滋病及母婴传播性疾病的感染率、母婴传播率进行研究，对艾滋病感染者进行重点监测，将实验室检测和对农村育龄妇女的体检、健康教育相结合，采取有效的干预措施，将预防艾滋病母婴传播的关口前移。通过大量调研，取得了可靠数据，研究结论为山西省及全国艾滋病母婴传播的预防与控制提供了科学依据。经过国内外科技查新检索，未发现同类报道，专家们一致认为，该课题达到了国内领先水平，对于控制与降低我省乃至全国艾滋病母婴传播的发生率具有重要的现实意义。
该课题组在参加“全国艾滋病综合防治示范区项目”等实践中发现，目前山西省的艾滋病母婴传播途径主要来自跨省婚姻中的农村育龄妇女。由于经济、文化水平的落后和健康保健意识低下，我省少部分贫困县存在跨省买卖婚姻现象，这是我省艾滋病母婴传播的高危人群。所以，通过调查研究掌握我省跨省婚姻中育龄妇女的艾滋病感染率、孕产妇感染率、母婴传播率，对艾滋病感染者进行重点监测，并采取切实有效的措施对艾滋病母婴传播进行阻断是一项造福子孙后代的大事。
该课题组采用流行病学研究方法，将现场流行病学调查和实验室检测技术相结合，对我省部分县跨省婚姻的6000余名农村育龄妇女进行检测，首次研究了山西省跨省婚姻中的农村育龄妇女艾滋病及乙肝、丙肝、梅毒等母婴传播性疾病的现状。结果表明：在跨省婚姻妇女中艾滋病的感染率为1．32％，艾滋病孕产妇感染及其它母婴传播性疾病的感染率都有所升高，并远远高于本地育龄妇女，是我省艾滋病母婴传播和其它母婴传播性疾病的高危人群。 （董奇光）
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PMTCT before problems occur
Time: 2010-07-18 01:37:26 Source: Taiyuan Daily Dong Qiguang
Key words: mother to child transmission prevention of HIV mother to child HIV AIDS women of childbearing age in rural areas
Abstract: July 16, the director of the provincial maternal and child health physician to assume the province of Dong Yan, scientific and technological project, "Marriage in the rural provinces of Shanxi Province women of childbearing age and Integrated Control of AIDS testing" issue, by the provincial Science and Technology Department Organization experts. The discussion group participating in "National AIDS Prevention and Control Pilot Region" and other practices found that the current means of mother to child transmission of AIDS in Shanxi Province mainly from the provinces of rural women of childbearing age in marriage.
PRC on July 16, the director of the provincial maternal and child health physician to assume the province of Dong Yan, scientific and technological project, "Marriage in the rural provinces of Shanxi Province women of childbearing age and Integrated Control of AIDS testing" issue, by the Provincial Science and Technology Department Organization experts.
The discussion group for the first time in Shanxi provinces in the rural women of childbearing age marriage and mother to child transmission of HIV infection rate, rate of mother to child transmission of AIDS to focus surveillance, laboratory testing and will be of childbearing age in rural areas women's physical examination, health education combined with effective interventions for the prevention of MTCT of HIV before problems occur. Through a lot of research to obtain reliable data, the study concludes that in Shanxi Province and the national AIDS prevention and control of mother to child transmission to provide a scientific basis. Through domestic and international novelty search search found no similar reports, the experts agreed that the issue has reached domestic leading level, to control and reduce the province and even the national rate of MTCT of HIV has important practical significance.
The discussion group participating in "National AIDS Prevention and Control Pilot Region" and other practices found that the current means of mother to child transmission of AIDS in Shanxi Province mainly from the provinces of rural women of childbearing age in marriage. The economic, cultural level, and health care and lower backward, poverty-stricken counties of our province there is a small part of the inter-provincial trading marriages, it is our province at high risk of MTCT of HIV. Therefore, through the investigation of inter-provincial marriage to master our province's AIDS infection rate in women of childbearing age, maternal infection, mother to child transmission rate of AIDS to focus on monitoring and take effective measures to stop mother to child transmission of HIV off is a major event for the benefit of future generations.
Epidemiological research methods used in the discussion group, will field epidemiological investigation and laboratory testing of technologies combining some counties of our province and more than 6,000 inter-provincial marriage in rural women of childbearing age tested, the first of the provinces of Shanxi Province marriage of rural women of childbearing age of AIDS and hepatitis B, hepatitis C, syphilis and other diseases of the status of mother to child transmission. The results showed that: in the provinces of marriage of women in the AIDS infection rate of 1.32%, HIV infection and other maternal child transmission of the infection rate has increased and much higher than the local women of childbearing age, is my Provincial AIDS mother to child transmission mother to child transmission and other high risk diseases. (Dong Qiguang)
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