中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
25期
151-153
,共3页
梅毒%孕产妇%母婴传播%筛查
梅毒%孕產婦%母嬰傳播%篩查
매독%잉산부%모영전파%사사
Syphilis%Gravidae and puerperae%Mother-baby transmission%Screening
目的：了解龙华新区孕产妇梅毒感染的现状，为孕产妇梅毒与胎儿或新生儿梅毒感染防治提供依据。方法收集2013~2014年龙华新区所有辖区医院门诊产检与住院分娩的产妇及新生儿进行梅毒血清学筛查数据，并对结果进行统计分析。结果2013年42366例孕产妇梅毒检出率为0.19%；2014年46936例孕产妇梅毒检出率为0.25%，2014年龙华新区孕产妇梅毒检出率明显高于2013年(P<0.05)；2013年龙华新区新生儿梅毒检出率与2014年比较差异无统计学意义(P>0.05)；31~40岁孕产妇梅毒检出率为0.34%，明显高于21~30岁孕产妇(0.18%)(P<0.01)，其余比较差异无统计学意义(P>0.05)；早孕期孕妇中梅毒检出率为0.20%，中孕期为0.23%，晚孕期为0.20%，不同孕期梅毒检出率比较差异无统计学意义(P>0.05)。结论龙华新区孕产妇梅毒感染率相对较低，但2014年较2013年仍有上升，故仍应加强对孕产妇的梅毒检测，强化阻断母婴传播措施，而梅毒筛查应列入妊娠期常规筛查项目之一，以最大限度降低梅毒新生儿的出生率，进一步提高龙华新区出生人口的素质。
目的：瞭解龍華新區孕產婦梅毒感染的現狀，為孕產婦梅毒與胎兒或新生兒梅毒感染防治提供依據。方法收集2013~2014年龍華新區所有轄區醫院門診產檢與住院分娩的產婦及新生兒進行梅毒血清學篩查數據，併對結果進行統計分析。結果2013年42366例孕產婦梅毒檢齣率為0.19%；2014年46936例孕產婦梅毒檢齣率為0.25%，2014年龍華新區孕產婦梅毒檢齣率明顯高于2013年(P<0.05)；2013年龍華新區新生兒梅毒檢齣率與2014年比較差異無統計學意義(P>0.05)；31~40歲孕產婦梅毒檢齣率為0.34%，明顯高于21~30歲孕產婦(0.18%)(P<0.01)，其餘比較差異無統計學意義(P>0.05)；早孕期孕婦中梅毒檢齣率為0.20%，中孕期為0.23%，晚孕期為0.20%，不同孕期梅毒檢齣率比較差異無統計學意義(P>0.05)。結論龍華新區孕產婦梅毒感染率相對較低，但2014年較2013年仍有上升，故仍應加彊對孕產婦的梅毒檢測，彊化阻斷母嬰傳播措施，而梅毒篩查應列入妊娠期常規篩查項目之一，以最大限度降低梅毒新生兒的齣生率，進一步提高龍華新區齣生人口的素質。
목적：료해룡화신구잉산부매독감염적현상，위잉산부매독여태인혹신생인매독감염방치제공의거。방법수집2013~2014년룡화신구소유할구의원문진산검여주원분면적산부급신생인진행매독혈청학사사수거，병대결과진행통계분석。결과2013년42366례잉산부매독검출솔위0.19%；2014년46936례잉산부매독검출솔위0.25%，2014년룡화신구잉산부매독검출솔명현고우2013년(P<0.05)；2013년룡화신구신생인매독검출솔여2014년비교차이무통계학의의(P>0.05)；31~40세잉산부매독검출솔위0.34%，명현고우21~30세잉산부(0.18%)(P<0.01)，기여비교차이무통계학의의(P>0.05)；조잉기잉부중매독검출솔위0.20%，중잉기위0.23%，만잉기위0.20%，불동잉기매독검출솔비교차이무통계학의의(P>0.05)。결론룡화신구잉산부매독감염솔상대교저，단2014년교2013년잉유상승，고잉응가강대잉산부적매독검측，강화조단모영전파조시，이매독사사응렬입임신기상규사사항목지일，이최대한도강저매독신생인적출생솔，진일보제고룡화신구출생인구적소질。
Objective To investigate the syphilis infection situation of gravidae and puerperae in Longhua New District in order to provide reference for the prevention and control of syphilis in gravidae and puerperae and neonatal syphilis infection. Methods The syphilis serology screening data of the puerperae and neonates who received outpatient antena-tal care and inpatient delivery in all the hospitals of Longhua New District between 2013 and 2014 were collected and the results were analyzed statistically. Results In 2013,the syphilis detection rate of 42 366 gravidae and puerperae was 0.19%.In 2014,the syphilis detection rate of 46 936 gravidae and puerperae was 0.25%.The syphilis detection rate in 2014 was significantly higher than that in 2013 (P<0.05).The syphilis detection rate of neonates in Longhua New Dis-trict in 2013 was not statistically different from that in 2014 (P>0.05).The syphilis detection rate of gravidae and puer-perae aged 31 to 40 years old was 0.34%,which was significantly higher than that of those aged 21 to 30 years old (0.18%) (P<0.01),and the rests were not statistically different (P>0.05).The syphilis detection rates of early pregnancy women, middle pregnancy women and late pregnancy women were 0.20%,0.23% and 0.20% respectively,without statistical dif-ferences between different pregnancy stages (P>0.05). Conclusion The syphilis detection rate of gravidae and puerperae in Longhua New District is relatively low,but the rate in 2014 increases compared to that in 2013,so the syphilis detec-tion of gravidae and puerperae should be enhanced and the measures to block mother-baby transmission should be strengthened.And syphilis screening should be included in the routine screening items of pregnancy in order to mini-mize the birth rate of syphilis neonates and further improve the birth population quality in Longhua New District.
