舟山海岛地区孕产妇梅毒感染情况和新生儿预后分析  

Effect of syphilis infection on pregnancy outcomes in Zhoushan islands,Zhejiang

作　　者：姜雯 

机构地区：[1]舟山市妇幼保健院,浙江舟山316000

出　　处：《中国预防医学杂志》2011年第6期515-516,共2页Chinese Preventive Medicine

基　　金：浙江省医药卫生科技计划(2010SSA013)

摘　　要：目的了解海岛地区孕产妇梅毒发病情况及对围产儿结局的影响,为该地区孕产妇梅毒防治决策提供依据。方法回顾性分析2008-2009年度在舟山市妇幼保健院住院分娩的梅毒感染孕产妇其妊娠结局及新生儿的转归情况。结果 51例妊娠期梅毒患者中,孕前及孕早、中孕期确诊并正规治疗组早产、死胎、死产的发生率、先天梅毒儿的发生率明显低于孕晚期确诊未正规治疗组。结论通过对产前筛查出妊娠期梅毒后,及早、足量、正规的抗梅毒治疗能有效地降低流产、早产、死产和分娩先天梅毒儿的发生率。对妊娠早、中期发现的梅毒患者不必终止妊娠,通过正规、足量的抗梅毒治疗可以避免不良妊娠结局的发生。尽可能加强宣教,提高孕妇系管率,孕期及早进行梅毒筛查,发现异常及时给予正规、足量治疗。Objective To investigate syphilis infection in pregnant women and its effect on pregnancy outcomes in Zhoushan islands.Methods A retrospective analysis was performed for reviewing syphilis infection and its effects on pregnancy outcomes.The information was collected from pregnant health care records,children health care cards and telephone interviews.Results The rate of syphilis infection was 0.8%（51/6 366） for pregnant women between January,2008 and December,2009.There were 21 and 22 women who were diagnosed with syphilis infection before（group A） and in the early stage（group B） of pregnancy,and then received the standard procedure of treatment.Syphilis infection was found in 8 women with the late stages of pregnancy（group C）.The rates of abortion,dead embryo,stillbirth and inborn syphilis were lower in group A and group B than in group C（P0.05）.Conclusion The results show the importance of syphilis infection screening in pregnancy women.

关 键 词：梅毒 妊娠 胎儿 婴儿 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]