中国妇幼健康研究2011,Vol.22Issue(3):303-306,4.DOI:10.3969/j.issn.1673-5293.2011.03.018
194名HIV阳性孕妇临床特征分析
Analysis of clinical characteristics of 194 HIV positive pregnant women
于兰 1唐志荣 1刘丽芬 1刘燕芬 1杨睿侃 1李繁 1张福杰1
作者信息
- 1. 中国疾病预防控制中心性病艾滋病预防控制中心,北京,100050
- 折叠
摘要
Abstract
Objectives To analyze the demographic, epidemiological, clinical and laboratmy characteristics of 194 HIV positive pregnant women visiting prenatal clinics in Guangxi and to explore the impact of HIV on pregnant women. Methods The data of demographic,epidemiology, clinical and laboratory characteristics of 194 HIV positive pregnant women diagnosed in four cities and counties of Guangxi from October 2008 to February 2009 were analyzed. Results The average age of 194 HIV pregnant women was 26 ± 4.4 years. A majoriiy of them were infected through sexual behavior. 14.4% and 45.9% of them were found at first and third trimester, respectively. Median CD4 count was 317/mL and HIV viral load was 23 600copies/mL when enrolled. There were 54% patients whose CD4 was lower than 350/mL and 19% whose viral load over 100 000 copies/mL. Anemia was common in 61.9% pregnant women, and opportunity infection ( OI ) was found in 16% pregnant women, the main manifestations of which included recmrent fever, skin lesion, respiratory infection,tuberculosis and chronic diarrhea. There were 4.61% and 67.01% HIV positive pregnant women receiving HAART before pregnancy and during pregnancy, and 9.28% of them received cotrimoxazole prophylaxis for OI prevention. Conclusion Early detecting of HIV positive pregnant women and understanding the epidemiological, demographic, clinical and laboratory characteristics of them are the priority strategies of implementing intervention and care for HIV positive pregnant women.关键词
HIV孕妇/临床和实验室特征/CD4/病毒载量/贫血Key words
HIV pregnant women/ clinical and laboratory characteristics/ CD4/ viral load/ anemia分类
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于兰,唐志荣,刘丽芬,刘燕芬,杨睿侃,李繁,张福杰..194名HIV阳性孕妇临床特征分析[J].中国妇幼健康研究,2011,22(3):303-306,4.