摘要
目的:对舟山地区小儿急诊合并先天性梅毒的资料进行分析,掌握本地区的流行病学资料,为制定控制策略及治疗提供参考。方法:收集本地区2003年1月至2013年1月急诊合并先天性梅毒感染患儿67例资料,采用SPSS13.0统计软件对流行病学进行分析。结果:急诊合并先天性梅毒患儿年龄从1个月～12岁,其中以1～3个月、4个月～1岁为主,分别占65.67%、23.88%,2岁～3岁、4岁～5岁、6岁～7岁、>8岁的构成比例分别为5.98%、1.49%、1.49%、1.49%,1岁以内的感染患儿占绝大多数,与其它年龄组比较差异具有显著性(P<0.05),性别构成比较差异无显著性(P>0.05)。近几年感染呈逐年上升趋势,2010年、2011年、2012年感染人数大大高于前7年。阴道分娩患儿占80.60%,明显高于剖宫产,母亲承认感染病史23例,父亲承认感染病史17例,父母均有感染史的9例,大多数患儿父母对自己梅毒感染病情不知情,以上结果差异具有显著性(P<0.05)。结论:小儿先天性梅毒的发病率呈逐年上升趋势,感染患儿多数年龄在0～1岁之间,以3月内的婴儿最为多见,未经产前检查,父母对感染不知情是小儿先天性梅毒在出生时未及时发现的主要原因,应引起相关部门的重视。
Objectives： To obtain epidemiology information of congenital syphihs of children in Zhoushan and to provide reference for prevention and treatment of congenital syphilis. Methods： We collected information of 67 cases of children with congenital syphilis who went to see the emergency department from January 2003 to January 2013 in Zhoushan. The data were processed by SPSS13.0. Results： Among the 67 children, the proportion of those who aged from one month to three months was 65.67%, from three months to one year 23.88%, from one to two 5.98%, from two to three 1.49%, from three to four 1.49%, over four 1.49%. The majority of the 67 children were under the age of one, and the proportion of them was signifi- cantly different from the proportion of children with other ages （ P 〈 0.05 ）. Gender differentiation was not significant （ P 〉 0. 05）. In recent years, the number of infected children has been increasing, especially in the year of 2010, 2011 and 2012. The proportion of vaginal delivered children was 80.60% , significantly higher than the proportion of cesarean delivered chil- dren. Twenty- three mothers admitted being infected, and seventeen fathers admitted being infected; nine patients＇ fathers and mothers were infected ; most parents did not know whether they were infected or not ; all above results had significant differences （ P 〈 0.05 ）. Conclusion： There is an upward trend in the incidence of pediatric congenital syphilis. Most infected chil- dren aged under 3 months. The main cause is that many parents are not aware of their infection and do not take prenatal exami- nation.
出处
《中国性科学》
2013年第9期35-37,49,共4页
Chinese Journal of Human Sexuality
基金
浙江省医学会医学发展计划资助项目(2010-ZW046)
关键词
小儿
急诊
先天性梅毒
流行病学调查
Children
Emergency
Congenital syphilis
Epidemiological investigation
