深圳市宝安区2002～2004年6081例孕产妇梅毒／HIV监测情况分析  

Analysis on surveillance of syphilis/human immunodeficiency virus (HIV) of 6 081 pregnant and lying-in women from 2002 to 2004 in Baoan District of Shenzhen

作　　者：徐小红[1] 陈紫平[1] 陆泉[1] 徐立中 黄雪芹[1] 

机构地区：[1]广东省深圳市宝安区人民医院,518101

出　　处：《中国妇幼保健》2005年第7期888-890,共3页Maternal and Child Health Care of China

摘　　要：目的:分析与探讨深圳市宝安区孕产妇梅毒/HIV监测存在的问题及解决的方法,为预防与控制梅毒/HIV的母婴传播项目提供参考依据.方法:对每例初产检的孕产妇免费筛查梅毒/HIV,并进行详细资料登记;发现阳性病人进一步确诊,并进行追踪治疗.结果:2002年7月～2004年6月共监测6 081例孕产妇,发现梅毒阳性孕产妇25例,阳性率为411.12/10万,HIV阳性孕产妇1例,阳性率为16.44/10万.年龄分布以20～30岁为主,最小19岁,最大41岁;职业分布以无业、待业和工人为主;文化程度以高中/中专为主;户籍以暂住和流动人口为主;梅毒阳性孕产妇所生的8例新生儿均梅毒阳性,目前都在医生指导下接受规范治疗.HIV阳性孕产妇和11例梅毒阳性孕产妇已终止妊娠,另6例梅毒阳性孕产妇在医生的指导治疗下继续妊娠.结论:对孕产妇进行产前梅毒/HIV筛查和咨询并采取一系列干预性预防措施,可有效降低梅毒/HIV母婴传播的发生率.深圳市孕产妇梅毒阳性率较高,应针对重点人群开展妊娠梅毒/HIV的普查及综合干预工作.Objective:By analyzing and exploring the existing problems in surveillance of syphilis/HIV of pregnant and lying-in women in Baoan District of Shenzhen and its methods of resolution to provide reference for Item of Prevention and Control of Syphilis/HIV Mother-Child Transmission.Methods:Every maternity woman was provided with free examination on syphilis/HIV and recorded in detail. The patients with positive results were further diagnosed and followed-up.Results:Of 6 081 maternity women screened from July 2002 to June 2004, there were 25 cases of positive syphilis (411.12/105), 1 case of positive HIV (16.44/105). Most patients aged 20~30 years old, the youngest ones aged 19 years old, the oldest ones aged 41 years old. Their occupation distribution mainly included unemployment, waiting for a job and workers; the education degree mainly included senior high school /technical secondary school; the domiciliary register mainly included staying and floating population; 8 newborns born by 8 cases with positive syphilis all had positive syphilis and received standard treatment under the doctors' guidance. 1 case with positive HIV and 11 cases with positive syphilis all terminated pregnancy, the other 6 cases with positive syphilis continued pregnancy under the doctors' guidance.Conclusion:Prenatal screening and consulting for maternity women on syphilis/HIV and adopting a series of intervention preventive measurements could effectively reduce incidence rate of syphilis/HIV mother-infant transmission. The maternity women with the higher positive syphilis in Shenzhen should be as important population to develop the general investigation and comprehensive intervention work on pregnant syphilis/HIV.

关 键 词：孕产妇 梅毒 HIV 母婴传播 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]