摘要
目的收集湖南省2013—2016年孕产妇的梅毒检测等情况,评价近年来湖南省预防梅毒母婴传播工作的效果。方法从预防艾滋病、梅毒和乙肝母婴传播管理系统和中国疾病预防控制信息系统,收集2013—2016年湖南省孕产妇梅毒检测、梅毒感染孕产妇和所生婴儿的诊断、治疗和随访情况数据,进行统计分析。结果 2013—2016年湖南省孕产妇梅毒检测率为98.7%（3 223 407/3 264 843）,共检出梅毒阳性者7 622人,阳性率0.23%。各年孕产妇梅毒检测率分别为97.3%、98.9%、99.0%和99.7%（χ^2趋势=17 178.909,P=0.000）;孕期检测率分别为84.4%、89.3%、90.9%和94.1%（χ^2趋势=42 118.041,P=0.000）;梅毒感染孕产妇治疗率分别为77.1%、78.5%、81.9%和89.4%（χ^2趋势=96.936,P=0.000）;梅毒感染孕产妇所生儿童治疗率分别为68.1%、71.4%、77.1%和86.3%（χ^2趋势=167.126,P=0.000）;胎传梅毒报告率分别为97.9/10万活产、88.4/10万活产,51.1/10万活产,13.6/10万活产（χ^2趋势=503.151,P=0.000）。结论 2013—2016年湖南省预防梅毒母婴传播工作取得较大成效,胎传梅毒报告发病率逐年下降,但在梅毒感染孕产妇早期诊断、规范治疗、儿童随访等方面仍存在不足,需要改进。
Objective To evaluate the effect of prevention of mother to child transmission of syphilis in Hunan province during 2013—2016.Methods Data were collected from the national IPMTCT surveillance system and China disease prevention and control information system,including syphilis infected pregnant women and infants born to them,followed by the statistical analysis.Results The detection rates of the pregnant women infected with syphilis were 97.3%,98.9%,99% and 99.7%from 2013 to 2016（χ^2Trend=17 178.909,P=0.000）.The pregnancy detection rates were 84.4%,89.3%,90.9% and 94.1%,respectively（χ^2Trend=42 118.041,P=0.000）.The treatment rate of the syphilis infected pregnant women were 77.1%,78.5%,81.9% and 89.4%,respectively（χ^2Trend=96.936,P=0.000）,and the treatment rate of the babies born to syphilis infected women were 68.1%,71.4%,77.1% and 86.3%,respectively（χ^2Trend=167.126,P=0.000）.The report rate of congenital syphilis was 97.9/10 million live births,88.4/10 000 live births,51.1/10 million live births,and 13.6/10 million live births,respectively（χ^2Trend=503.151,P=0.000）.Conclusion During 2013—2016,the detection rate and treatment rate are increasing greatly for prevention of syphilis spreading among pregnant women.Congenital syphilis report rate decreases year by year.It is still necessary for further improvement in early diagnosis of syphilis infection,standard treatment,and follow-up services.
作者
高洁
邹颖
吴颖岚
陈霞
GAO Jie;ZOU Ying;WU Yinglan;CHEN Xia(Maternal and Child Health Hospital of Hunan Province, Changsha 410008, Hunan, China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2018年第6期619-621,共3页
Chinese Journal of Aids & STD
基金
2017年湖南省卫生计生委科研项目(B2017127)~~
关键词
梅毒
孕产妇
母婴传播
干预效果
Syphilis
Pregnant women
Detection
Intervention
