摘要
目的了解上海市宝山区孕妇梅毒流行特征、防治现状，为制订防治措施提供依据。方法对上海市宝山区2004至2009年的孕妇梅毒监测资料进行回顾性分析。结果孕妇梅毒筛查阳性率0．31％（195／63227），其中本地孕妇0．17％（37／22287），外来孕妇0．39％（158／40940）Х^2=22．699，P〈0．01）。145例检查了梅毒螺旋体颗粒凝集试验，阳性136例。孕早期快速血浆反应素环状卡片试验（RPR）筛查比率：本地孕妇为51．35％（19／37），外来为24．68％（39／158）（Х^2=22．192，P=0．000）。经随访152例记录了妊娠结局，其中146例正常分娩活产婴儿，3例人工终止妊娠，死胎和自然流产共3例。43例失访，外来失访率22．78％（36／158），本地孕妇为18．92％（7／37）。结论应完善妊娠梅毒防控工作机制，改进咨询服务模式，重视外来孕妇的筛查随访工作。
Objective To explore the epidemiologic feature of maternal syphilis and the status of prevention and control of the disease in Baoshan District. Methods Syphilis monitoring data of pregnant women were analyzed retrospectively in Baoshan district of Shanghai from 2004 to 2009. Results The positive rate of syphilis in pregnant women was 0. 3 1% （ 195/63 227）. Among them, residing and migratory pregnant women accounted for 0. 17% （37/22 287） and 0. 39% （ 158/40 940） respectively （Х^2 =22. 699, P 〈0. 01 ）. A total of 145 cases received the examination of treponema pallidum particle agglutination （TPPA）. And 136 cases were positive. The positive rate of rapid plasma reagin test （RPR） was 51.35% （19/37） in residing early pregnant women and 24. 68% （39/158） in migratory counterparts （Х^2 =22. J92, P =0. 000）. And 152 cases were followed up to record pregnancy outcomes, including normal delivery of live births （ n = 146）, artificial termination of pregnancy （ n = 3 ）, stillbirth and spontaneous abortion （ n = 3）. Forty-three cases became lost. And the rate of loss was 22.78% （36/158） in migratory pregnant women and 18.92% （7/37） in residing counterparts. Conclusions It is imperative to improve the prevention and control mechanisms of pregnancy syphilis and the model of consulting services. We should also pay more attention to screening and follow-up work in migratory pregnant women.
出处
《中华全科医师杂志》
2012年第4期277-279,共3页
Chinese Journal of General Practitioners
关键词
梅毒
孕妇
普查
Syphilis
Pregnant women
Mass screening
