382例妊娠梅毒感染分析.docVIP

精品论文 参考文献 382例妊娠梅毒感染分析 曾宇东1 杨丽燕2 杨诗平3 　　长沙市妇幼保健院 湖南长沙 410007 　　摘要： 目的 了解长沙市妊娠梅毒感染现状，为控制梅毒感染及母婴阻断治疗提供科学依据。方法 由长沙市各医疗机构填报“梅毒感染孕产妇登记卡”。结果 长沙市2012年在122791名孕产妇中报告梅毒382例，现患率为0.31%；妊娠梅毒的构成比随着文化程度的增高有降低的趋势，其顺位依次为初中及以下（51.3%）、高中或中专（33.2%）、大专及以上（8.1%）；不同职业孕妇的梅毒构成比不同，以家务及待业者居多，占52.4%，其次为农民，占26.4%；绝大部分妊娠梅毒感染者对于自身梅毒的感染途径不清楚，占78%，明确为性传播的占21.2%；对于丈夫或性伴是否感染了梅毒，亦有超过一半为未检测或不详，前者占33.0%，后者占29.6%。结论 只有加强梅毒、艾滋病等相关性传播疾病的知识教育，特别是对于文化程度较低、家务待业及农民等人群，要对其本人及其丈夫均要进行健康教育和梅毒感染监测，才能早期发现、早期诊断妊娠梅毒，早期干预与阻断胎传梅毒，保护妇女和儿童的身体健康。 　　关键词：妊娠梅毒；现患率；分析 　　Abstract：Objective Find out the pregnancy syphilis infection status in Changsha，to provide a scientific basis.for the control of syphilis infection and PMTCT treatment.Method Various medical institutions were asked to fill in maternal syphilis registration card in Changsha.Results There are 382 cases syphilis in 122，791 maternal which were reported in 2012 of Changsha.The prevalence rate of syphilis is 0.31%；The constitutes of pregnancy syphilis have a decreasing trend in higher educational level，The top three were Junior high school or below（51.3%），Senior middle school or secondary（33.2%），college or higher（8.1%）；There are different constitutes in different occupations，most of them occurred in housework and unemployed population，which majority reached 52.4%，followed by farmers who accounting for 26.4%；Most pregnancy syphilis（78%）have no idea about how infected by what channels，only 21.2% was infected explicit by sexual transmission；Whether their husband or partner is infected with syphilis，there are more than half of undetected or unknown，the undetected account is 33.0%，the unknown account is 29.6%.Conclusion We should strengthening the knowledge and education of syphilis，AIDS and other sexually transmitted diseases，especially for lower education level populations，housework and unemployed population，farmers.Both the pregnancy and their husband should have health education and syphilis infection surveillance，which contribute to early detection，early di