2011-2013年芜湖市孕产妇梅毒检测情况分析

摘要:目的　了解芜湖市梅毒母婴阻断工作情况，同时分析母婴阻断示范区与非示范区之间的差异，为制定预防梅毒母婴传播下一步工作计划提供依据。方法　2011-2013年全市所有助产机构和社区服务中心上报的工作月报表，对数据使用卡方检验进行分析。结果　2011-2013年累计78810例孕产妇接受梅毒检测，其中孕期检测66823例，检测比例为79.00%，产时检测11987例，检测率14.20%，发现阳性孕产妇159例，孕产妇梅毒感染率为1.88‰；示范区（χ2趋势＝1767.716，P＜0.001）和非示范区（χ2趋势＝3508.764，P＜0.001）的梅毒检测率呈现逐年上升的趋势；各年度示范区梅毒孕期检测比例均高于非示范区，有统计学差异。结论　总结示范区工作经验并推广，同时各级妇幼保健机构应加强项目的管理工作，减少梅毒感染孕产妇的漏报率，提高孕期检测率，对孕产妇进行梅毒检测，早期发现梅毒感染孕妇，给予早期、规范、全程的治疗对有效降低先天性梅毒儿的发生有着重要的作用。

Analysis of syphilis in pregnant women during 2011~2013 in Wuhu city

Abstract: Objective This study was to learn the current situation of mother-infant block of syphilis in Wuhu city and analyze the diversity between demonstration area and non-demonstration area, so as to provide evidence for next working program about mother-infant block of syphilis. Methods All of the midwifery institutions and Community Service Center reported monthly between 2011 to 2013 and the data were analyzed using chi-square test. Results There were 78810 patients accepted syphilis testing during 2011-2013, including 66823 pregnancy cases and 11987 intrapartum cases, with the testing ratio of 79% and 14.2%, respectively. 159 cases has been detected positive, accounting for 1.88‰ of the total. The detection ratio of pregnant and parturient women has been increasing year after year in demonstration area (χ2linear-by-linear=1767.716, P<0.001) or non-demonstration area (χ2linear-by-linear= 3508.764, P<0.001). The proportion of syphilis during pregnancy in each year was higher than that of non-demonstration area, with significant differences. Conclusion All the maternity and child care institutions must strengthen project management, especially sum up the work experience of demonstration area, such as reduction in failure-to-report rate about positive syphilis pregnant and parturient women, and the improvement in the testing ratio during pregnancy. The early discovery of maternal syphilis is crucial for early diagnosis and appropriate treatment.