139例梅毒感染孕产妇及所生儿童干预及效果分析  

Effectiveness analysis of 139 syphilis infected pregnant women and their children intervention

作　　者：罗月环 韩光岩 张丽宏 

机构地区：[1]辽宁省本溪市妇幼保健所,117000

出　　处：《中国妇幼卫生杂志》2015年第6期60-61,共2页Chinese Journal of Women and Children Health

摘　　要：目的了解本溪市梅毒感染孕产妇及所生儿童的感染、治疗、随访等状况及存在的问题。方法对本溪市2011-2014年139例梅毒感染孕产妇的孕期治疗、分娩时新生儿的感染状况等资料进行回顾整理,运用卡方检验方法进行分析。结果上报梅毒感染孕产妇139人,流产15人,出生127例儿童(双胎3人)。127例儿童中,母亲孕期规范治疗46人,治疗率37.1%,其中有20例儿童出生时RPR(+),26例RPR(-);非规范治疗和未治疗81人中有56例儿童出生时RPR(+),25例RPR(-),孕期是否规范治疗对新生儿出生时RPR阳性率存在差异(P<0.01)。确诊先天梅毒儿童4人,有预防用药指征的101人,无儿童预防性用药。结论提高梅毒感染孕产妇规范治疗率及儿童预防用药率,减少新生儿感染梅毒的机会。Objective To find out prevalence of syphilis infected among pregnant women and effectiveness ofsyphilis infected pregnant women and their children treatment in BENXI city. Method Reviewing and reorganizing the data of 139 syphilis infection pregnant women pregnancy treatment in BENXI city from 2011 to 2014. To analyzethe effectiveness by Chi-square method. Result There were 139 syphilis infected pregnant women in 2011- 2014. Among which,15 abortion and 127 had newborns; 37. 1%（ 46 /124） received standardized treatment during pregnancy. 20 RPR（ ＋）,26 RPR（-） when they were born; 56 RPR（ ＋）,25 RPR（-）among 81 off-standard treatment pregnant women（ there are distinct differences of RPR positive ratio in new born infants because of norm pregnancy treatment9（ P 〈 0. 01）. There were 4 inherent syphilis infants and 101 preventability pharmacy feature infants. None of the infants received prophylactic treatment. Conclusion To raise orm treatment ratio of syphilis infection pregnant women and the ratio of infant preventability pharmacy; reducing syphilis infection chance of new born infants.

关 键 词：梅毒 先天梅毒 妊娠梅毒 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]