潜伏梅毒(隐性梅毒)研究近况

Present research situation of latent syphilis ( recessive syphilis)

复习近年来潜伏梅毒(隐性梅毒)研究的部分文献,综述潜伏梅毒的定义、发现途径、发生的原因、危害性、检测和治疗、护理。发现隐性梅毒近年来的发病率有显著增长,且在梅毒全部患者中约占50%。此类型梅毒表面以健康状态出现,但大多保留了传染性,并可由潜伏梅毒孕妇胎传致先天梅毒。因此,在术前、孕前及各类体检中筛查隐性、潜伏梅毒患者至关重要,可以防止梅毒进一步传播,特别是先天梅毒的发生。治疗隐性梅毒目前仍首选青霉素,但必须全程、足量、科学、规范,治疗后要定期进行血清学检测,防止复发及抗梅毒不成功现象发生。

The paper researched some recent literatures about latent syphilis （ recessive syphilis ） , and reviewed the definition, dis- covery ways, causes, harms, detection and treatment, as well as nursing of latent syphilis. The research shows that the incidence rate of latent syphilis has increased significantly in recent years, and the latent syphilis cases accounted for almost 50% of total cases. The patients with latent syphilis appear healthy, but most of them are infectiousness. The pregnant woman who has latent syphilis can spread the disease through the placenta to the infant, and then cause the congenital syphilis. Therefore, it is important to carry out the screening of latent syphilis in preoperative examination and pre pregnancy examination, to prevent the further spread of syphilis, especially congenital syphilis. The penicillin is still the drug of first choice for latent syphilis, but the treatment must be complete, full dose, scientific and standardized, while the regular serological detection should be performed after treatment, in order to prevent recurrence and failed anti-syphilis therapy.