2012-2014年贵州省预防梅毒母婴传播效果分析  

Analysis on the effect ofsyphilis prevention from mother to child transmission in Guizhou province during 2012-2014

作　　者：牟鸿江[1] 王伟人[1] 杨梅[1] 

机构地区：[1]贵州省疾病预防控制中心妇幼保健所,贵阳550004

出　　处：《中国艾滋病性病》2017年第3期261-263,共3页Chinese Journal of Aids & STD

基　　金：贵州省科技支撑计划项目(黔科合SY字【2011】3030号)~~

摘　　要：目的探讨贵州省预防梅毒母婴传播的效果。方法随机抽取26个县(市、区),回顾性分析2012-2014年孕产妇中梅毒检测、梅毒感染孕产妇和所生儿童的抗梅毒治疗及干预结局。结果 2012-2014年,26个抽样县孕产妇梅毒检测率、确诊梅毒感染孕产妇数及阳性率分别从87.32%、255人、1.62‰增加至95.62%、426人、2.42‰(P<0.001);梅毒感染孕产妇规范治疗率及所生婴儿预防性治疗率从30.43%、70.60%增加至37.94%、83.30%(P<0.05);不良妊娠结局发生率和梅毒母婴传播率从7.84%、6.24%下降至6.10%、4.77%(P>0.05)。结论预防梅毒母婴传播效果显著,但尚需加强对薄弱环节的研究。Objective To analyze the effect of syphilis prevention from mother to child transmission in Guizhou province. Methods 26 counties （cities, districts） were randomly selected, with retrospective analysis conducted based on maternal syphilis testing, and the birth of children with anti syphilis treatment and intervention outcome during 2012-2014. Results In the 26 counties, syphilis detection rate of pregnant women, the number of pregnant women diagnosed with syphilis and the positive rate were 87.32 %, 255, and 1. 62‰, increasing to 95.62 %, 426, and 2.42‰ （P〈0. 001）. The rate of standardized treatment of syphilis infection and the rate of preventive treat- ment for infants born to women increased from 30.43%, 70.60% to 37.94% and 83.30% （P〈0.05）. The inci- dence of adverse pregnancy outcomes and the rate of maternal and infant transmission of syphilis decreased from 7.84% and 6.24% in 2012 to 6.10% and 4.77% in 2014 （P〉0.05）. Conclusion The effect of syphilis prevention from mother to child is significant. However, it is necessary to strengthen the work in order to keep the achieve- ments so far made.

关 键 词：孕产妇 梅毒 母婴传播 

分 类 号：R759[医药卫生—皮肤病学与性病学]