2014-2021年湖南省梅毒感染孕产妇预防母婴传播服务的利用情况分析  

Utilization of PMTCT services for pregnant women with syphilis infection in Hunan Province,2014-2021

作　　者：高洁[1] 杨敏[1] 吴颖岚 陈霞[1] 方俊群[1] 梁昌标[1] 梁婷 GAO Jie;YANG Min;WU Yinglan;CHEN Xia;FANG Junqun;LIANG Changbiao;LIANG Ting(Maternal and Child Health Hospital of Hunan Province(Hunan Institute of Reproductive Medicine),Changsha 410008,Hunan,China)

机构地区：[1]湖南省妇幼保健院(湖南省生殖医学研究院),长沙410008

出　　处：《中国艾滋病性病》2022年第11期1285-1288,共4页Chinese Journal of Aids & STD

基　　金：中国性病艾滋病防治协会·艾伯维妇幼关爱及预防母婴传播基金(2020PMTCT-W9a)。

摘　　要：目的了解梅毒感染孕产妇预防母婴传播服务利用情况,为湖南省达到消除梅毒母婴传播目标提供科学依据。方法收集2014-2021年湖南省预防母婴传播管理信息系统网络直报资料、梅毒感染孕产妇个案登记卡信息,回顾性分析梅毒感染孕产妇检测、用药和接受预防母婴传播服务等情况。结果2014-2021年,湖南省孕产妇梅毒检测率为99.7%(5233868/5250466),孕期检测率由88.2%(649475/736366)上升至99.1%(436220/440182),孕早中期确诊比例由67.2%(1305/1942)上升至76.4%(1721/2253),共检出梅毒阳性孕产妇20494人,阳性检出率为0.4%(20494/5233868)。梅毒感染产妇治疗率由67.6%(1250/1849)上升到98.8%(1868/1890),充分治疗率由22.1%(408/1849)上升到87.8%(1659/1890)。结论2014-2021年,湖南省梅毒感染孕产妇预防母婴传播服务利用较好,在孕产妇的检测率、孕早中期确诊率、治疗率等方面都有较大的进展,但梅毒感染孕产妇的充分治疗率距离消除梅毒母婴传播的目标仍有一定的差距,需要进一步采取针对性措施提高梅毒感染孕产妇的充分治疗率。Objective To understand the utilization of maternal services for syphilis-infected pregnant women and provide a scientific basis for achieving the goal of eliminating mother-to-child transmission of syphilis in Hunan Province.Methods To collect information on direct reporting on the Prevention of Mother-to-Child Transmission Management Information System network and maternal syphilis case registration cards in Hunan Province from 2014 to 2021 and analyze the status of testing,medication use and other related services among pregnant women with syphilis infection.Results From 2014 to 2021,the syphilis detection rate of pregnant women in Hunan Province was 99.7%(5233868/5250466).The pregnancy detection rate increased from 88.2%(649475/736366)to 99.1%(436220/440182).In addition,syphilis-positive pregnant women during the first and second trimesters increased from 67.2%(1305/1942)to76.4%(1721/2253).A total of 20494 pregnant women were detected and the positive detection rate was 0.4%(20494/5233868).The treatment rate of syphilis-infected increased from 67.6%(1250/1849)to 98.8%(1868/1890),and the adequate treatment rate increased from 22.1%(408/1849)to 87.8%(1659/1890).Conclusions The utilization of maternal services for syphilis-infected pregnant women in Hunan Province from 2014 to 2021 is relatively high.Progress in maternal detection,early and mid-pregnancy diagnosis,and treatment rates were noticed.However,the adequate treatment rate of syphilis-infected mothers is still a gap from the goal of eliminating mother-to-child transmission of syphilis and further targeted measures are needed.

关 键 词：梅毒 预防母婴传播 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]