郑州市二七区2011～2012年24260例孕妇梅毒监测情况分析  

Analysis on monitoring for 24 260 pregnant women with syphilis of Erqi District in Zhengzhou from 2011 to 2012

作　　者：杨华 黄佳 苏淑敏 赵慧霞 武英杰 

机构地区：[1]郑州市二七区妇幼保健所围保科,郑州450052

出　　处：《中国当代医药》2014年第16期149-151,共3页China Modern Medicine

摘　　要：目的分析与探讨本区孕妇梅毒监测存在的问题及解决方法，以利于《郑州市防治艾滋病梅毒“十二五”行动计划》的实现。方法对本区十家医院每例初次产检的孕妇进行梅毒筛查，发现阳性患者进一步检测以确诊，并进行追踪治疗。结果2011年1月～2012年12月共监测24260例孕妇，发现梅毒阳性孕妇56例，阳性率为230．83／10万（56／24260）；其中本地孕妇阳性率为133．07／10万（20／15030），外来孕妇阳性率为390．03／10万（36／9230）（P=-0．000）。年龄17～40岁，以20～30岁为主；文化程度主要是初中或高中；职业以无业、待业居多。18例梅毒阳性孕妇已终止妊娠，另8例梅毒阳性孕妇在规范的治疗下继续妊娠。梅毒阳性孕妇所生的30例新生儿均梅毒阳性，24例在医生指导下接受规范治疗，6例失访。结论对孕妇进行产前梅毒筛查并对阳性患者进行规范治疗，可有效降低梅毒母婴传播的发生率，应针对重点人群开展妊娠梅毒的普查及综合干预工作。Objective To analyze and explore the existing problem in monitoring for pregnant women with syphilis in Erqi District of Zhengzhou and its methods of resolution in order to realize the 12th Five-Year Action Plan for AIDS/ Syphilis Prevention in Zhengzhou. Methods Every pregnant woman was provided with examination on syphilis.The patients with positive results were further diagnosed and followed-up. Results 24 260 pregnant women were monitored from 2011 to 2012,56 cases of positive syphilis.The positive rate of syphilis in pregnant women was 230.83/105 （56/24 260）. Among them,residing and migratory pregnant women accounted for 133.07/105 （20/15 030）and 390.03/105（36/9230）respectively（P=0.000）.Patient＇s age varied from 17 to 40 years,most of them were between 20 and 30 years.The education degree mainly included junior or senior high school,their occupation distribution mainly included unemployment and waiting for a job.18 cases with positive syphilis terminated pregnancy while the other 8 cases with positive syphilis continued pregnancy under normative treatment.30 newborns born by 30 mothers with positive syphilis all had positive syphilis and 24 of them received standard treatment under the doctors＇ guidance,but 6 of them lost to follow up. Conclusion Prenatal monitoring on pregnant women with syphilis and normative treatment for those with positive result can effectively reduce the incidence rate of mother-infant transmission in syphilis.The pregnant women in Zhengzhou should be treated as important population to develop the general investigation and comprehensive intervention on syphilis in pregnant period.

关 键 词：孕妇 梅毒 母婴传播 

分 类 号：R514[医药卫生—内科学]