摘要
目的分析罗湖区2008年孕产妇梅毒流行病学特征,为制定防治策略提供科学依据。方法对罗湖区开展免费筛查妊娠梅毒的12家医疗单位收集的妊娠梅毒疫情信息数据进行统计分析。结果2008年罗湖区共检出妊娠梅毒83例,患病率为4.7‰。28周前产检发现阳性者占多数(为67.5%),说明孕妇对产前检查较为重视;83例阳性全部为潜伏梅毒,其中潜伏期不详的隐性梅毒最多(占90.4%),与梅毒发病的隐匿性及近年来抗生素的广泛应用有关;发病年龄集中在21～35岁(占90.4%),为性活跃年龄段;已婚者居多(占86.7%);传染来源全部为性接触传播,以婚前性接触感染为主(占66.3%);户籍类型以暂住为主(占80.7%),职业以无业及商贸、服务业为多(占74.7%),学历以中学为主(占77.1%),说明罗湖区流动低学历人群成为梅毒多发人群及主要传染源。结论根据罗湖区孕产妇梅毒的流行病学特征,应继续加大性病防治知识宣传教育力度,尤其是加大对孕妇人群的性健康教育和行为干预,同时进一步加强孕妇梅毒疫情监测等综合性防治措施,以有效遏制梅毒的母婴传播和流行。
Objective To analyze the epidemiological characteristics of pregnancy syphilis in Luohu District in 2008, and to provide the scientific proof for prevention and treatment strategies making. Method The pregnancy syphilis epidemiological data collected from free STD check in 12 hospitals of Luohu District were statistically analyzed. Results Eighty - three cases of pregnancy syphilis were found in Luohu District in 2008, with the morbidity rate of 4.7‰. 67.5% of the patients were found during the 28 - week pregnancy check, which showed that the pregnancy check was valued. 83 positive cases were potential syphilis, 90.4 % were recessive syphilis, which was related to the invisibility of syphilis and the wide usage of antibiotics. 90.4 % of the patients were at the age of 21-35, who were at the sexually active period. 86.7 % were married, 74.7 % were in service industry, the source of infection was.sexual contact transmission, and the major infectious source was extra - marital sexual contact which accounted for 66.3 %. 80.7 % were the temporary floating population, 74.7 % were unemployment or commercial service employment, and 77.1% were with the educational background of middle school which showed that the main infectious source of syphilis was the floating population with low qualification in Luohu District. Conclusions According to the epidemiological characteristics of pregnancy syphilis in Luohu District, the promotion and propaganda of sexually transmitted diseases education should be strengthened, especially for the pregnant women; meanwhile, the comprehensive prevention and control measures should also be enhanced, so as to stop the maternal- neonatal transmission of syphilis.
出处
《实用预防医学》
CAS
2009年第5期1423-1424,共2页
Practical Preventive Medicine
关键词
妊娠
梅毒
流行病学
Pregnancy
Syphilis
Epidemiology
