CAJ | 학술논문

目的：分析广州市番禺区妊娠梅毒筛查、诊治、随访情况，为妊娠梅毒管理工作提供改进依据。方法采用回顾调查分析法，对番禺区2011年10月至2013年9月筛查103665例孕妇新发现的219例妊娠梅毒患者随访情况进行统计。结果103665例孕妇中确诊妊娠梅毒219例，妊娠梅毒筛查阳性发生率为0.21％，均为潜伏梅毒；176例患者在孕期进行了1个疗程的治疗，其中33例积极接受2个疗程规范治疗；40例未治疗；3例因电话空号、关机或拒绝无法随访；先天梅毒共14例，发生率为6．4％。结论妊娠梅毒是一种严重母婴传播疾病，经过规范治疗、密切随访、加强宣传教育，提高患者依从性可降低先天梅毒的发生。
목적：분석엄주시번우구임신매독사사、진치、수방정황，위임신매독관리공작제공개진의거。방법채용회고조사분석법，대번우구2011년10월지2013년9월사사103665례잉부신발현적219례임신매독환자수방정황진행통계。결과103665례잉부중학진임신매독219례，임신매독사사양성발생솔위0.21％，균위잠복매독；176례환자재잉기진행료1개료정적치료，기중33례적겁접수2개료정규범치료；40례미치료；3례인전화공호、관궤혹거절무법수방；선천매독공14례，발생솔위6．4％。결론임신매독시일충엄중모영전파질병，경과규범치료、밀절수방、가강선전교육，제고환자의종성가강저선천매독적발생。
Objective To investigate the status of pregnancy syphilis screening ,diagnosis,treatment,follow-up in Panyu district for improvement of management of pregnancy syphilis .Methods Using the method of a retro-spective survey,the follow-up data for 219 cases of patients were diagnosed with gestational syphilis from 2011.10.1 to 2013.9.30.Results 219 cases were diagnosed with gestational syphilis in 103 665 cases of pregnant women .The positive rate was 2.1%and all cases were latent syphilis .176 cases underwent a course of treatment during pregnancy , of which 33 patients received two courses of standard treatment .40 cases didn't receive treatment and 3 cases could not be followed up due to the phone empty ,shut down or refuse .14 cases were congenital syphilis ,the rate was 6.4%. Conclusion Pregnancy syphilis is a serious mother to child transmission of disease .After standard treatment ,close follow-up,strengthen publicity and education to improve patient compliance can reduce the incidence of congenital syphilis.