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目的通过分析2013-2014年庄河市预防梅毒母婴传播综合干预情况,为加强预防梅毒母婴传播工作提供依据。方法收集2013-2014年庄河市梅毒感染孕产妇个案资料,并对其进行回顾性分析。结果 2013-2014年庄河市孕产妇孕期梅毒血清学检测率为93.60%,检出梅毒感染孕产妇80例,86.25%为本地户籍、13.75%为流动户籍,以性传播为主。40.00%梅毒感染孕产妇在孕期接受规范梅毒治疗。梅毒感染孕产妇分娩新生儿77例,均未接受预防性用药。对所有儿童实行追踪随访,定期进行非梅毒螺旋体检测,42例排除先天梅毒感染,35例失访。结论庄河市预防梅毒母婴传播干预工作初显成效,但与国家要求目标还有差距。今后工作重点应提高梅毒感染孕产妇的孕期规范治疗及所生儿童的预防性治疗,加强梅毒感染孕产妇所生儿童的随访检测工作,更有效控制梅毒的母婴传播。
Objective To analyze the prevention of mother-to-child transmission of syphilis in Zhuanghe city from 2013 to 2014 and provide the basis for strengthening the prevention of mother-to-child transmission of syphilis. Methods The data of syphilis infected pregnant women in Zhuanghe City from 2013 to 2014 were collected and analyzed retrospectively. Results The serological detection rate of pregnant women in Zhuanghe during the third trimester was 93.60% during 2013-2014. There were 80 pregnant women with syphilis infection detected, 86.25% of whom were local residents, 13.75% of them were mobile residences and were mainly sexually transmitted. 40.00% Syphilis infection Pregnant women receive standardized syphilis treatment during pregnancy. 77 cases of neonatal syphilis infection in pregnant women were delivered, no preventive medication. All children were followed up, non-Treponema checked regularly, 42 cases were ruled out congenital syphilis infection and 35 cases were lost. Conclusion Zhuanghe prevention of syphilis early mother-to-child transmission intervention work initially, but there are still gaps with the national requirements. Future work should focus on improving syphilis infection in pregnant women during normative treatment of gestational age and prophylactic treatment of children, strengthening syphilis infection in pregnant women born children follow-up testing, more effective control of syphilis mother-to-child transmission.