83例妊娠隐性梅毒患者所产新生儿血清学随访结果分析  

Follow -up study on latent syphilis patients： serum test on their neonates

作　　者：胥建中[1] 李继科[1] 

机构地区：[1]成都市传染病医院,四川成都610061

出　　处：《中国性科学》2011年第4期28-29,44,共3页Chinese Journal of Human Sexuality

摘　　要：目的：分析报告我院2005年7月-2008年8月期间，经过治疗后的83例妊娠隐性梅毒患者所产84例新生儿的追踪观察。方法：对84例新生儿进行梅毒螺旋体明胶凝聚实验（TPPA）和快速血浆反应素实验（RPR）及其滴度的检测，并对治疗效果进行跟踪，对结果进行统计学分析。结果：84例新生儿出生时TPPA均阳性，RPR滴度从阴性到大于l：8不等；其中46例（54．76％）RPR阴性未进行治疗，只进行定期观察，其余38例（45．78％）接受治疗，治疗病例中1例在随访期间出现RPR滴度从1：2上升到1：32，其他病例没出现可以确诊为先天梅毒的依据。结论：新生儿中疑似先天梅毒开展治疗非常有意义，但对于长期治疗效果尚需进一步观察。Objectives： To report and analyze the follow - up study on 84 neonates delivered by 83 pregnant latent syphilis patients in our hospital between July 2005 and August 2008. Methods： TPPA and RPR tests were performed on 84 cases of neo- nates. Therapeutic effects were observed, followed, and statistically analyzed. Results： TPPA were found to be positive when 84 neonates were born. RPR were tested to be ranging from negative to 1 ： 8. 46 cases（54.76% ） of negative RPR received no treatment, but regular check - up, while 38 cases （45.78%） received treatment. In the follow - up study, one treatment case showed increased level of RPR from 1 ： 2 to 1 ： 32. No other cases indicated evidence for the definite diagnosis of congenital syphilis. Conclusion ： The treatment on suspected congenital syphilis among neonates is very valuable, but the long - term treatment effects have to be observed.

关 键 词：新生儿 先天梅毒 治疗 预防 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]