本文關(guān)鍵詞： 艾滋病病毒感染產(chǎn)婦 新生兒出生體格 妊娠疾病　出處：《中國(guó)艾滋病性病》2017年11期 　論文類型：期刊論文

【摘要】：目的通過(guò)對(duì)艾滋病病毒(HIV)感染產(chǎn)婦分娩的新生兒的出生體格情況及其相關(guān)影響因素進(jìn)行分析,為HIV感染產(chǎn)婦孕期保健服務(wù)提供指導(dǎo)。方法回顧性分析2005年3月至2016年6月11年期間HIV感染產(chǎn)婦分娩的新生兒出生體格的發(fā)育情況,與同期普通產(chǎn)婦分娩的新生兒進(jìn)行比較。結(jié)果共調(diào)查11 129名新生兒,HIV感染產(chǎn)婦的新生兒310人,普通產(chǎn)婦的新生兒10 819人。HIV感染產(chǎn)婦平均分娩孕周[(38.6±1.4)周]低于普通產(chǎn)婦[(39.2±1.3)周],差異有統(tǒng)計(jì)學(xué)意義(P0.05)。普通產(chǎn)婦所生新生兒體格發(fā)育情況優(yōu)于HIV感染產(chǎn)婦所生新生兒(P0.05),HIV感染產(chǎn)婦所生新生兒體重(2 988.9±275.5)g,頭圍(29.3±2.7)cm,胸圍(28.5±2.3)cm,身長(zhǎng)(49±1.9)cm;普通產(chǎn)婦所生新生兒體重(3 250.5±424.8)g,頭圍(32.3±1.9)cm,胸圍(31.6±1.9)cm,身長(zhǎng)(50.1±1.7)cm。HIV感染產(chǎn)婦在妊娠并發(fā)癥發(fā)生率,以及妊娠并發(fā)肝炎、胎膜早破、妊娠并發(fā)性傳播疾病、胎兒宮內(nèi)窘迫、早產(chǎn)、妊娠并發(fā)貧血、妊娠并發(fā)甲狀腺疾病、妊娠并發(fā)肝臟疾病和胎兒生長(zhǎng)受限等情況均高于普通產(chǎn)婦,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。胎膜早破羊水細(xì)菌培養(yǎng)感染率HIV感染產(chǎn)婦高于普通產(chǎn)婦,差異有統(tǒng)計(jì)學(xué)意義(P=0.042)。結(jié)論 HIV感染會(huì)對(duì)孕產(chǎn)婦的孕周及新生兒出生體重產(chǎn)生影響,對(duì)于HIV感染孕產(chǎn)婦應(yīng)加強(qiáng)孕期保健服務(wù),規(guī)范抗病毒治療、預(yù)防藥物不良反應(yīng),安全助產(chǎn),指導(dǎo)新生兒科學(xué)喂養(yǎng),提高HIV產(chǎn)婦和嬰兒的生存質(zhì)量。
[Abstract]:Objective to analyze the physical condition and related factors of newborns born with HIV / AIDS infection. Methods from March 2005 to June 2016, the development of newborn infants with HIV infection was analyzed retrospectively. Results A total of 11 129 newborns with HIV infection were investigated. 10,819 newborns of ordinary mothers. Average gestational weeks of HIV-infected women. [(38.6 鹵1.4) weeks] is lower than that of normal parturient. [The difference was statistically significant (P 0.05). The physical development of newborns born to normal pregnant women was better than that of newborns infected with HIV (P 0.05). The body weight of newborns born to pregnant women infected with HIV was 29.3 鹵2.7 cm, the body weight of newborns was 298.9 鹵275.5g, and the chest circumference was 28.5 鹵2.3 cm. Length 49 鹵1.9 cm; The body weight of newborns was 3250.5 鹵424.8g, the head circumference was 32.3 鹵1.9cm, and the chest circumference was 31.6 鹵1.9mm. The incidence of pregnancy complications, pregnancy complicated with hepatitis, premature rupture of membranes, pregnancy complicated with sexually transmitted diseases, fetal distress, premature delivery. Pregnancy complicated with anemia, pregnancy complicated with thyroid disease, pregnancy complicated with liver disease and fetal growth restriction were higher than common parturient. The infection rate of bacteria in amniotic fluid of premature rupture of fetal membrane was higher in pregnant women with HIV infection than that in normal women. The difference was statistically significant (P < 0.042). Conclusion HIV infection may affect pregnant women's gestational weeks and newborn birth weight, and the pregnant women with HIV infection should strengthen health care during pregnancy. Standard antiviral treatment, prevention of adverse drug reactions, safe midwifery, guidance of neonatal scientific feeding, improve the quality of life of HIV parturient and infant.
【作者單位】： 云南省婦幼保健院;
【基金】：促進(jìn)農(nóng)村孕產(chǎn)婦艾滋病、梅毒和乙肝母嬰傳播早期檢測(cè)及阻斷研究(2014NS369)~~
【分類號(hào)】：R714.251
【正文快照】： Supported by the Research Project for Early Detection and Prevention of MTCT of HIV,Syphilis and Hepatitis B inRural Areas(2014N369)至2016年10月31日,云南省統(tǒng)計(jì)近5年新報(bào)告發(fā)現(xiàn)的艾滋病病毒(HIV)感染者/病人趨于穩(wěn)定,但性傳播比例持續(xù)上升。母嬰垂直傳播是15歲以

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