2021年舟山地区11260例孕妇妊娠梅毒感染状况调查及影响因素分析  

Investigation of syphilis infection status of 11260 pregnant women from Zhoushan in 2021 and its influence factors

作　　者：谢艺溶 顾海娜[1] XIE Yirong;GU Haina(Zhoushan Maternal and Child Health Care Hospital,Zhoushan,Zhejiang Province,316000)

机构地区：[1]浙江省舟山市妇幼保健院,316000

出　　处：《中国计划生育学杂志》2023年第1期19-22,共4页Chinese Journal of Family Planning

摘　　要：目的:分析舟山地区妊娠期女性梅毒感染情况和影响因素。方法:回顾性收集2019年1月-2022年1月舟山地区3家综合医院和2家妇产专科医院收治的妊娠期女性11260例临床资料,均行妊娠梅毒血清学筛查,对临床资料进行单因素分析和多元logistic回归分析,寻找影响因素。结果:调查的11260例妊娠期女性中梅毒阳性率为1.9%(208例),梅毒规范治疗率为73.1%(152例),妊娠梅毒感染孕妇分娩的200例新生儿中先天梅毒儿16例(8.0%),出生梅毒反应阳性25例(12.5%)、阴性159例(79.5%)。单因素分析,年龄、户籍、职业、文化程度、经济收入、婚姻状况、性伴侣数、配偶为梅毒患者在妊娠梅毒孕妇与非妊娠梅毒感染孕妇中有差异(P<0.05),多元logistic回归分析,外地户籍、服务行业、文化程度低、经济收入低、未婚、性伴侣数≥2个、配偶患梅毒均是妊娠梅毒发生的独立影响因素(P<0.05)。结论:2021年舟山地区妊娠梅毒感染率为1.9%,低收入、低学历、外来户口及性伴侣紊乱人群中感染率较高,经过有效预防、筛查及治疗治疗率高,新生儿预后得到改善。Objective:To study the syphilis infection status of 11260 pregnant women from Zhoushan,and to analyze the influencing factors of syphilis infection.Methods:The clinical data of 11260 pregnant women in Zhoushan area from January 2019 to January 2022 were collected retrospectively.These women were given syphilis serologically screening during pregnancy.The clinical data of these women were analyzed by univariate analysis and multiple logistic regression analysis,and their influencing factors of syphilis infection were analyzed.Results:The positive rate of syphilis infection of 11260 pregnant women was 1.9%(208 cases),the detection rate of syphilis of these women during pregnancy was 79.0%(8890 cases),and the standard treatment rate of syphilis of these women was 73.1%(152 cases).Among 200 newborns of the women with syphilis infection during pregnancy,there were 16(8.0%)cases with congenital syphilis,25(12.5%)cases with positive syphilis infection,and 159(79.5%)cases with negative syphilis infection after born.The univariate analysis showed that age,registered residence,occupation,education level,economic income,marital status,number of sexual partners,and the spouse with syphilis infection had significantly deferent between the pregnant women with syphilis infection and the pregnant women without syphilis infection(P<0.05).Multiple logistic regression analysis showed that registered residence from other area,the service industry of occupation,the low education level,the low economic income,the unmarried status,the number of sexual partners≥2 persons,and the spouse with syphilis infection of the women were all their independent influencing factors of the syphilis infection during pregnancy(P<0.05).Conclusion:The incidence rate of syphilis of the pregnant women from Zhoushan area in 2019-2022 was 1.85%,and the syphilis infection was mainly prevalent among the women with low income,with low educational level,with household registration from other area,or with multiple sexual partners.After effective prevention,scree

关 键 词：妊娠梅毒 治疗 新生儿感染 影响因素 

分 类 号：R759.15[医药卫生—皮肤病学与性病学]