兰州市城关区2015年至2019年梅毒孕产妇母婴阻断及随访状况分析  被引量:4

Analysis of maternal-infant syphilis blocking and follow-up of pregnant women in Chengguan District of Lanzhou from 2015 to 2019

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作  者:张静[1] 史庭筠 武文娟 马铭 黄彩霞 薛红丽[1] ZHANG Jing;SHI Tingyun;WU Wenjuan;MA Ming;HUANG Caixia;XUE Hongli(School of Public Health,Lanzhou University,Lanzhou 730000,Gansu,China;Department of Health Care,Chengguan County Maternal and Child Health Care Hospital,Lanzhou 730000,Gansu,China;Department of Child Health Care,Chengguan County Maternal and Child Health Care Hospital,Lanzhou 730000,Gansu,China)

机构地区:[1]兰州大学公共卫生学院,兰州730000 [2]兰州市城关区妇幼保健院保健部,兰州730000 [3]兰州市城关区妇幼保健院儿童保健部,兰州730000

出  处:《中国性科学》2021年第7期106-109,共4页Chinese Journal of Human Sexuality

基  金:兰州市城关区科技计划项目(2019SHFZ0030)。

摘  要:目的通过对2015年至2019年兰州市城关区梅毒孕产妇和儿童用药及随访数据进行分析,了解兰州市城关区预防梅毒母婴传播服务工作的实施效果。方法通过“预防艾滋病、梅毒、乙肝母婴传播管理信息系统”收集相关信息,分析梅毒孕产妇人口学特征、不良妊娠结局,分析梅毒母婴治疗情况的变化趋势及梅毒孕妇所生儿童的随访情况。结果2015年至2019年在城关区共监测到127例梅毒孕产妇,其中在本地区分娩的梅毒产妇71例,活产儿70例,正常产儿49例,诊断先天梅毒3例;梅毒产妇治疗率、新生儿预防用药率、儿童规范用药率均呈上升趋势(P<0.05),儿童随访率较高(93.02%)。结论兰州市城关区梅毒孕产妇主要为育龄且文化水平低的人群,不良妊娠结局发生率较高,梅毒母婴阻断服务和随访管理工作有待提高。Objective To study the effect of prevention of mother-to-child transmission of syphilis,based on the analysis of drug use and follow-up data of syphilis pregnant women and children in Chengguan District of Lanzhou City from 2015 to 2019.Methods Through the“management information system for the prevention of mother-to-child transmission of AIDS,syphilis and hepatitis B”,relevant information was collected to analyze the demographic characteristics and adverse pregnancy outcomes of pregnant women with syphilis,the changing trend of mother and infant treatment of syphilis and the follow-up of children born to pregnant women with syphilis.Results From 2015 to 2019,a total of 127 syphilis pregnant women were monitored in Chengguan District,including 71 syphilis pregnant women who delivered in this area,70 live births,49 normal births,and 3 cases of congenital syphilis diagnosed.The rate of treatment for syphilis in maternal,the rate of prophylactic drug use in neonates and the rate of standardized drug use in children all showed an upward trend(P<0.05),and the follow-up rate for children was higher(93.02%).Conclusions Most of the pregnant women with syphilis in Chengguan District of Lanzhou were subjects of childbearing age and low educational level.The incidence of adverse pregnancy outcomes was relatively high.The maternal-child interception service and follow-up management of syphilis need to be improved.

关 键 词:孕产妇 先天梅毒 不良妊娠结局 规范用药 随访情况 

分 类 号:R759[医药卫生—皮肤病学与性病学]

 

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