382例妊娠梅毒感染分析

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1、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肌断治疗提供科学依据。方法由K:沙市各医疗机构填报“梅毒感染孕产妇登记卡”。结果K: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

2、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，要对其木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：ObjectiveFindoutthepregnancysyphilisinfecti

3、onstatusinChangsha,toprovideascientificbasis.forthecontrolofsyphilisinfectionandPMTCTtreatment.MethodVariousmedicalinstitutionswereaskedtofillin"maternalsyphilisregistrationcard"inChangsha.ResultsThereare382casessyphilisin122，791maternalwhichwerereportedin2012ofChangsh

4、a.Theprevalencerateofsyphilisis0.31%;Theconstitutesofpregnancysyphilishaveadecreasingtrendinhighereducationallevel,ThetopthreewereJuniorhighschoolorbelow(51.3%),Seniormiddleschoolorsecondary(33.2%),collegeorhigher(8.1%)；Therearedifferentconstitutesindifferentoccupation

5、s，mostofthemoccurredinhouseworkandunemployedpopulation，whichmajorityreached52.4%,followedbyfarmerswhoaccountingfor26.4%；Mostpregnancysyphilis(78%)havenoideaabouthowinfectedbywhatchannels,only21.2%wasinfectedexplicitbysexualtransmission；Whethertheirhusbandorpartnerisinf

6、ectedwithsyphilis，therearemorethanhalfofundetectedorunknown，theundetectedaccountis33.0%，theunknownaccountis29.6%.ConclusionWeshouldstrengtheningtheknowledgeandeducationofsyphilis，AIDSandothersexuallytransmitteddiseases，especiallyforlowereducationlevelpopulations，housew

7、orkandunemployedpopulation,farmers.Boththepregnancyandtheirhusbandshouldhavehealtheducationandsyphilisinfectionsurveillance,whichcontributetoearlydetection，earlydiagnosisofpregnancysyphilis,andgoodforearlyinterventionandblockingcongenitalsyphilis，toprotectthehealthofwo

8、menandchildren.Keywords：Pregnancysyphilis；Prevalence；Analysis梅毒是一种高度传染的性传播疾病，妊娠梅毒是指在妊娠期发生或出现的活动梅毒或潜伏梅毒。由于梅毒螺旋体可以感染胎盘和