北京市流动人口预防梅毒母婴传播服务现状分析  

Situation of the prevention service of mother-to-child transmission of syphilis among mobile population in Beijing

作　　者：张雪[1] 陈正超 刘凯波[1] ZHANG Xue;CHEN Zhengchao;LIU Kaibo(Beijing Obstetrics and Gynecology Hospital,Capital Medical University.Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院,北京100026

出　　处：《中国艾滋病性病》2022年第11期1277-1280,共4页Chinese Journal of Aids & STD

基　　金：中华预防医学会社会组织参与艾滋病防治基金(2021-2022110105PYDPMTCT000001)。

摘　　要：目的描述北京市梅毒感染孕产妇中流动人口获得预防母婴传播服务现状,并与本市户籍人口获得服务水平比较。方法回顾性分析2021年北京市所有住院分娩本市及流动人口孕妇梅毒孕期、孕早期、临产检测信息,分析梅毒感染孕产妇基本情况、妊娠期预防母婴传播相关干预措施、暴露儿童相关干预措施及分娩结局。结果2021年北京市住院分娩的144690名产妇中,本市户籍88696例,外地户籍55994例,北京市流动人口产妇孕期检测率(99.57%)、孕早期检测率(87.80%)均略低于本市户籍孕妇(99.91%、93.82%),仅产时检测率高于本市户籍孕妇(0.43%vs.0.09%),差异有统计学意义。流动人口梅毒感染孕妇治疗率为99.23%(129/130)、暴露儿童预防性治疗率为98.50%(131/133)和暴露儿童不良妊娠结局发生率为6.02%(8/133),与本市户籍人口比较差异均无统计学意义。充分治疗率、孕早期诊断率、孕早期治疗率、分娩前非梅毒螺旋体血清学检测率、接受非梅毒螺旋体血清学检测率,与本市户籍人口比较差异均无统计学意义。结论北京市流动人口梅毒感染孕妇接受了与本市户籍人口一样的预防母婴传播服务。下一步工作应针对流动人口的就医特征,继续强化孕产妇临产时检测与治疗,广泛开展社会宣传,促进流动人口孕妇尽早获得梅毒检测服务,并进一步加强流动人口孕妇及暴露儿童随访服务。Objective To compare the current situation of the prevention service of mother-to-child(PMTCT)transmission of syphilis among the mobile population and the permanent population in Beijing.Methods In Beijing in2021,a retrospective analysis was performed.Information related to syphilis testing during pregnancy,first trimester,and labor in all those mentioned above hospitalized pregnant women was analyzed.Results In 2021,among the hospitalized delivery women in Beijing,88,696 were registered as Beijing permanent residence and 55,994 were mobile population(non Beijing residence).The overall syphilis detection rate(99.57%)and detection rate duringthe first trimester of pregnancy(87.80%)were slightly lower than thoseones with permanent residency(99.91%、93.82%).The detection rate during labor were higher(0.43%vs.0.09%).The difference was statistically significant.The treatment rate of syphilisinfected pregnant women(99.23%,129/130),the preventive treatment rate of exposed children(98.50%131/133)and the incidence of adverse pregnancy outcomes of exposed children(6.02%8/133)were similar between the two groups(P all>0.05).There were no significant difference between two groups on the indicators of rates of adequate treatment,diagnosis in the first trimester,treatment in the first trimester,non-Treponema pallidum serological detection before delivery and receiving non-Treponema pallidum serological detection rate.Conclusions Pregnant women infected with syphilis without Beijing Hukou received equalized PMTCT service.The next step should focus on the medical characteristics of this population,carry out extensive social publicity,cooperate with mature NGOs for HIV,develop their services for other mother-to-child transmission diseases,and deliver the service information to all women in need.

关 键 词：梅毒 母婴传播 消除 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]