毕节市2012-2014年预防梅毒母婴传播工作分析

Analysis of Syphilis Prevention of Mother to Child Transmission in Bijie City from 2012 to 2014

目的了解毕节市预防梅毒母婴传播工作的实施情况,分析存在问题,为下一步有效实施预防梅毒母婴传播工作提供科学依据。方法采用预防艾滋病、梅毒和乙型肝炎母婴传播工作(IPMTCT)网络数据,结合Excel软件分析上报的表卡、网络直报月报表和阳性个案资料,分析2012-2014年毕节市梅毒感染孕产妇的个案相关资料。结果 2012-2014年,孕产妇梅毒阳性检出率为0.29%(609/209 398),孕期梅毒检测率67.30%(140 923/209398),孕产妇梅毒规范治疗率为14.43%(73/506),婴儿先天梅毒发生率为0.56%(3/539)。梅毒感染孕产妇所生婴儿中,新生儿死亡率由2012年9.17%(11/120)降至2014年1.27%(3/237),婴儿死亡率由2012年的10.00%(12/120)降至2014年的2.53%(6/237)。结论毕节市孕期梅毒检测率逐年上升,但梅毒阳性孕产妇规范治疗率极低,下一步工作重点是进一步提高孕期梅毒检测率,加强早孕期的筛查和规范治疗率。

Objective To understand the situation of syphilis block between mother and child in Bijie City so as to provide scientific basis for syphilis prevention of mother to child transmission syphilis in the future.Methods Integrated prevention of mother-to-child transmission（IPMTCT）network data and Excel software were used to analyze syphilis and hepatitis B screened pregnant women from 2012 to 2014.Results The positive rate of syphilis infected pregnant women was 0.29%（609/209 398）.The detection rate of syphilis during pregnancy was 67.30%（140 923/209 398）,and the rate of standard treatment for syphilis pregnant women was 14.43%（73/506）.The positive rate of infant congenital syphilis was 0.56%（3/539）.Among the infants born to syphilis positive pregnant women,the neonatal death rate dropped from 9.17%（11/120）in 2012 to 1.27%（3/237）in 2014;infant mortality rate dropped from 10.00%（12/120）to 2.53%（6/237）.Conclusion The detection rate of syphilis among the pregnant women is increasing year by year,showing the good effect of intervention.However,the standard treatment rate of syphilis positive pregnant women is very low.We should strengthen syphilis screening in the early stage of pregnancy,to further increase the detection rate of syphilis,and standardize the syphilis treatment for the pregnant women.