PDF《·现场调查·》

中华流行病学杂志2010年8月第3l卷第8期Chin JEpidemiol.

August 2010,V01.31,No.8 孕产妇和婚检人群艾滋病、乙型肝炎 及梅毒综合防治成本分析 -873・ ・现场调查・ 桂希恩张元珍杨蓉蓉热孜艳・斯拉夫黎逢良覃爱华李莉 吴丽珍宗黎黎 【摘要】 目的比较分析孕产妇及婚前医学检查人群艾滋病单项防治成本与艾滋病、乙型肝 炎(乙肝)及梅毒综合防治的投入成本费用.方法对湖北和新疆3县市部分孕产妇和婚前医学检 查(婚检)人群进行HIV、HBV及梅毒螺旋体(TP)检测,并采取阻断母婴传播的措施及相关医学建 议;

对检测结果及投入成本做比较分析.结果3县市孕产妇检测HIV抗体13 280人,阳性111 例,阳性率为8.4‰;

检测HBsAg

13 186人,阳性711例,阳性率54%o;

检测TP抗体12 401人,阳性 159例,阳性率12.8%0.3种疾病检出率73.8%0.婚检人群检测HIV抗体26 324人,阳性464例,阳 性率17.6%0;

检测HBsAgl9 152人,阳性1826例,阳性率95.3‰;

检测11P抗体19 099人,阳性355 例.阳性率18.6‰;

3种疾病检出率131.5%0,显著高于HIV检出率.但孕产妇综合防治费仅为HIV 防治费的1.4倍,婚检综合防治费仅为HIV防治费的1.8倍.结论对孕产妇及婚检人群进行 HIV、HBV及TP的综合防治,易被接受,可提高防治效率. 【关键词】艾滋病;

乙型病毒性肝炎;

梅毒;

综合防治 A comprehensive prevention programs on AIDS.HBV and syphilis among pregnant women and couples experienced premarital medical examination GUl Xi-ent.zHANG Yuan-zhenI,YANG Rong- rongl,REz|VAN・SiZafa2,LI Feng-池《,QIN Ai・hua4,LI Li2,WU Li-zhen3,zoNG k-敞、Zhongnan Hospital of耽.钇n University,‰n 43007l,China;

2 Women and Children'5 Hospital of Yining, Xinjiang;

3 Women and Children'5 Hospital ofTongcheng.Hubei;

4 Women and Children's Hospital of Bndong,Hubei Corresponding author:GU/X/-en.Email:[email protected] Th/s WOrk埘口s suppoaed 6',a grant from the Zeshan Foundation and the Hubei Research Program (No.2006AA301A02). 【Abstract】Objeetive To evaluate the effect of comprehensive prevention programs on HⅣ, HBV and syphilis transmission from mother to child and between premarital couples.Methods HⅣ.HBV and syphilis were screened among preghent women witll interventional measure for infected women;

HIV.HBV and syphilis(TP)were screened among premarital couples with medical advice.Results The HIV.HBsAg and TP positive rates were 8.4%0(111/13 280).54%0(711/13 186) and 12.8%0(159/12 401)respectively among pregnant women and the total positive rate of the three diseases was 73.8%0 which was significantly higher也an HIV positive rate(P