妊娠女性梅毒感染情况及防治措施分析

Analysis of syphilis infection in pregnant women and the prevention measures

目的探究妊娠女性梅毒感染情况及影响因素,为实施合理防治措施提供科学依据。方法采用连续采样方法,对2019年3月—2021年5月永康市妇幼保健院产前门诊首诊的512例妊娠女性进行问卷调查,并对其进行血液检测。分析其梅毒感染情况,采用logistic回归分析方法,探讨梅毒感染的影响因素,并采用Spearman法进行相关性分析。结果妊娠女性中梅毒阳性患者30例,阳性率为5.86%。2020年5月—2021年5月梅毒感染情况与2019年3月—2020年4月相比较少(P<0.05)。学历水平、职业、户籍所在地均与是否感染梅毒呈负相关(r=-0.121,-0.107,-0.099;P均<0.05),婚姻状况与其无相关性(r=0.079,P>0.05)。logistic回归分析结果显示,低学历、职业为工人或农民、外地户籍均为是否感染梅毒的主要影响因素。结论永康市梅毒感染率较高,应加强对外地农民工相关知识的宣传力度,拓宽知识宣传渠道,控制梅毒的流行。

Objective To explore the syphilis infection of pregnant women and its influencing factors to provide scientific basis for the implementation of reasonable prevention and treatment strategies. Methods Questionnaire survey was done on pregnant women who visited the antenatal clinic of Yongkang Maternity and Child Health Hospital from March, 2019to May, 2021, and blood detection was done on them. A total of 512 cases were collected. Syphilis infection situation was analyzed. Logistic regression analysis was used to explore the influencing factors of syphilis infection, and Spearman’s method was used to do correlation analysis. Results 30 cases of syphilis were positive, and the positive rate was 5.86%.The epidemic situation of syphilis infection from May, 2020 to May, 2021 was less serious than from March, 2019 to April, 2020(P<0.05). Education level, occupation and residence location were all negatively correlated with syphilis infection(r=-0.121,-0.107,-0.099, respectively, all P<0.05). There was no correlation between marital status and syphilis infection(r=0.079, P>0.05). Logistic analysis results show that low education, worker or farmer and foreign household registration were the main influencing factors of syphilis infection. Conclusion The prevalence of syphilis infection in Yongkang City is relatively high. It is suggested to strengthen the knowledge propaganda of migrant workers from other areas, and broaden the knowledge propaganda channels, so as to control the spread of syphilis.