青岛市孕产妇梅毒感染情况调查分析

AN INVESTIGATION AND ANALYSIS OF SYPHILIS INFECTION IN PREGNANT WOMEN IN QINGDAO,CHINA

目的了解青岛市孕产妇梅毒感染情况,为切断母婴间梅毒的传播提供参考依据。方法收集2013年1月—2015年12月青岛市各区市妇幼保健机构及各医疗机构孕产妇291 195例,均行梅毒螺旋体抗原血清学检测,阳性者再行非梅毒螺旋体抗原血清学检测。结果孕产妇梅毒感染率为1.80‰,3年间感染率无明显变化(P>0.05)。感染梅毒孕产妇年龄多在20~34岁,流动户籍者居多,文化程度普遍较低(χ~2=29.08~110.12,P<0.01)。结论青岛市孕产妇梅毒感染处于较低水平,应针对重点人群开展多元化健康教育,以最大限度减少梅毒母婴传播的发生。

Objective To investigate the status of syphilis infection in pregnant women in Qingdao, China, and to pro- vide a reference for blocking mother to-child transmission of syphilis. Methods A total of 291 195 pregnant women who were examined in maternity and child care institutions and medical institutions in each district of Qingdao from January 2013 to December 2015 were enrolled. A serological test of Treponema pallidum antigen was performed for all women, and a non-Treponema pallidum test was performed for those who had a positive result. Results The syphilis infection rate among the pregnant women was 1.80‰, and there was no significant change in this infection rate during the past three years （P 〉0.05）. Most of the pregnant women with syphilis infection were aged 20--34 years, belonged to the floating population, or had a low education level （X^2 = 29.08--110.12,P〈0.01）. Conclusion Syphilis infection rate is relatively low among pregnant women in Qingdao, and diversi- fied health education should be performed for the key population, in order to minimize mother-to-child transmission of syphilis.