兰州市城区537例孕产妇性传播疾病患病调查分析  

The Survey of Prevalence of Sexually Transmitted Diseases Among Pregnant Womem in Lanzhou Urban Area

作　　者：高文龙[1] 李莹[1] 陈继军[1] 谯小伟[1] 古丽萍[1] 杨闰平[2] 

机构地区：[1]兰州市疾病预防控制中心,甘肃兰州730000 [2]海军总医院皮肤科,北京100048

出　　处：《中国皮肤性病学杂志》2010年第5期451-452,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的了解兰州市孕产妇人群中性传播疾病的感染状况。方法在随机抽取的4家医院中,对符合要求的537名孕产妇进行一对一调查,内容主要包括调查对象的一般人群特征、怀孕情况、既往性病感染情况和配偶情况;对愿意进行现场体检和采血的对象进行了外生殖器、阴道和宫颈检查及采血。结果共完成537份调查问卷,一年内27.2%的调查对象出现过阴道分泌物增多及异常,早、中、晚孕期孕妇发生率分别为33.3%,34.2%,25.3%,0.2%的生殖器部位出现过溃疡、水疱或糜烂,0.4%的生殖器部位出现过菜花状、乳头状赘生物,4.5%出现过非月经期的下腹部疼痛,非月经期下腹部疼痛发生率中孕期高于晚孕期(P=0.001<0.0125);在现场体检中,537例均进行了外生殖器检查,0.4%生殖器部位出现溃疡,0.4%生殖器部位出现菜花状或乳头状赘生物,0.4%出现手足部红斑或身上出现皮疹;74例同意进行阴道及宫颈检查,27.8%的检查对象出现了阴道分泌物异常或增多,6.8%宫颈口出现粘液或粘液脓性分泌物,10.8%宫颈出现充血、糜烂;共采集537份血样,收回合格血清样本515份,均进行血清学检测,未检出HIV;经TPPA确证,梅毒阳性检出率为0.4%。结论孕产妇中存在梅毒等性传播疾病低水平检出率,因此应加强孕产妇性传播疾病预防知识的普及和健康教育。Objective To understand the prevalence of maternal infection status of sexually transmitted diseases in Lanzhou. Method In randomly selected four hospitals, Five hundred and thirty seven pregnant women meeting the requirements were surveyed on general population characteristics, pregnancies, the situation of sexually transmitted diseases, and infecting history of their spouses. On-site medical examination of the external genitalia, vaginal and cervical and blood collection were conducted. Result A total of 537 questionnaires were completed. Within a year, 27.2% presented with the vagina secretion and rates of early, middle and late trimester pregnant women were 33.3% , 34.2% , 25.3% respectively; 0.2% with ulcers, blisters or erosions in genitals area, 0.4% with cauliflower-like, papillary neoplasm in genital area, 4.5% with non-menstrual lower abdominal pain. For middle and late trimester pregnancy women, the incidence of lower abdominal pain in non-menstrual period were significantly （ P = 0. 001 〈 0.0125 ） ; In 537 cases external genital inspections were carried out, 0.4% showed genital ulcers, 0.4% showed genital area cauliflowerlike or papillary excrescence occurred, 0.4% showed erythema of hand, foot or body skin rash. of 74 cases received vaginal and cervical examination, 27.8% had abnormal or increased vaginal discharge, 6.8% had cervical mucus or mucopurulent, 10.8% had cervical appeared hyperemia, erosion of 537 blood samples, 515 serum samples were eligible. All serological tests were not detected HIV; confirmed by Treponema pallidum latex agglutination test （TPPA）, the positive detection rate of syphilis was 0.4%. Conclusion Syphilis existed in low-level prevalence of sexually transmitted diseases in pregnant women, thus enhancing the universal STD prevention knowledge and health education should be suggested.

关 键 词：孕产妇 性传播疾病 患病率 

分 类 号：R759[医药卫生—皮肤病学与性病学]