2013～2014年龙华新区孕产妇梅毒检测情况的分析.docVIP

2013～2014年龙华新区孕产妇梅毒检测情况的分析 　　[摘要] 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42 366例孕产妇梅毒检出率为0.19%；2014年46 936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（P0.05）；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%）（P0.05）；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（P0.05）。 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。 　　[关键词] 梅毒；孕产妇；母婴传播；筛查 　　[中图分类号] R759.1 [文献标识码] A [文章编号] 1674-4721（2015）09（a）-0151-03 　　[Abstract] 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 antenatal 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 （P0.05）.The syphilis detection rate of gravidae and puerperae 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%）（P0.05）.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 differences between different pregnancy stages （P0.05）. 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 detection of gravidae and puerperae should be enhanced and the measures to block mother-baby t