医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
18期
118-118
,共1页
抗梅毒%妊娠梅毒%治疗
抗梅毒%妊娠梅毒%治療
항매독%임신매독%치료
Syphilis resistance%Pregnant syphilis%Treatment
目的研究抗梅毒治疗对妊娠梅毒预后患者的影响。方法回顾性分析我院在2008年1月~2013年11月收治的104例妊娠梅毒患者的临床资料，将患者分为孕前治疗组、孕早期治疗组、孕晚期治疗组与不接受治疗的对照组，每组各26例病例。比较四组患儿不良妊娠结局发生率与新生婴儿传播情况。结果经研究得知，孕前治疗所产生的不良妊娠结局最少，发生率为12.5%。不良妊娠率最高的为对照组，发生率为65.4%。孕前治疗组、孕早期治疗组、孕晚期治疗组与对照组在不良妊娠结局上对比差异显著，具有统计学意义(<0.05)。从新生儿疾病传播情况上看，孕前治疗组RPR阳性与TPPA阳性率均低于其它几组，对比差异显著，具有统计学意义(<0.05)。结论在孕前对患者采取抗梅毒治疗措施，有利于使不良妊娠结局得以改善，对于新生儿预后有利，同时可控制先天梅毒发生率。
目的研究抗梅毒治療對妊娠梅毒預後患者的影響。方法迴顧性分析我院在2008年1月~2013年11月收治的104例妊娠梅毒患者的臨床資料，將患者分為孕前治療組、孕早期治療組、孕晚期治療組與不接受治療的對照組，每組各26例病例。比較四組患兒不良妊娠結跼髮生率與新生嬰兒傳播情況。結果經研究得知，孕前治療所產生的不良妊娠結跼最少，髮生率為12.5%。不良妊娠率最高的為對照組，髮生率為65.4%。孕前治療組、孕早期治療組、孕晚期治療組與對照組在不良妊娠結跼上對比差異顯著，具有統計學意義(<0.05)。從新生兒疾病傳播情況上看，孕前治療組RPR暘性與TPPA暘性率均低于其它幾組，對比差異顯著，具有統計學意義(<0.05)。結論在孕前對患者採取抗梅毒治療措施，有利于使不良妊娠結跼得以改善，對于新生兒預後有利，同時可控製先天梅毒髮生率。
목적연구항매독치료대임신매독예후환자적영향。방법회고성분석아원재2008년1월~2013년11월수치적104례임신매독환자적림상자료，장환자분위잉전치료조、잉조기치료조、잉만기치료조여불접수치료적대조조，매조각26례병례。비교사조환인불량임신결국발생솔여신생영인전파정황。결과경연구득지，잉전치료소산생적불량임신결국최소，발생솔위12.5%。불량임신솔최고적위대조조，발생솔위65.4%。잉전치료조、잉조기치료조、잉만기치료조여대조조재불량임신결국상대비차이현저，구유통계학의의(<0.05)。종신생인질병전파정황상간，잉전치료조RPR양성여TPPA양성솔균저우기타궤조，대비차이현저，구유통계학의의(<0.05)。결론재잉전대환자채취항매독치료조시，유리우사불량임신결국득이개선，대우신생인예후유리，동시가공제선천매독발생솔。
Objective To study the anti treatment of syphilis in pregnant syphilis patients prognosis. Methods Retrospective analysis in January 2008 to November 2013 were the clinical data of 104 cases of syphilis in pregnancy patients, the patients were divided into treatment group (treatment group, the early stages of pregnancy before childbirth, late pregnancy treated treatment group and control group, each group of 26 cases. Comparative incidence of four groups of children with adverse pregnancy outcomes and newborn babies. Results Through research that pregnancy treatment of adverse pregnancy outcome, at least the incidence was 12.5%. Adverse pregnancy rate of the highest for the control group, the incidence was 65.4%. Pregnancy treatment group (treatment group, the early stages of pregnancy and late pregnancy treatment group and control group in adverse pregnancy outcomes compared significant dif erence, statistical y significant ( < 0.05). Look from the neonatal disease situation, pregnancy positive RPR and TPPA positive rate of treatment group were lower than other groups, compared to significant dif erence, statistical y significant ( <0.05). Conclusion In pregnancy in patients with syphilis treatment resistant measures, to improve adverse pregnancy outcomes, for the good of neonatal prognosis, at the same time to control the incidence of congenital syphilis.
