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目的:分析2010-2014年金华市妇幼保健院孕产妇梅毒实验室检测及诊断情况,探索育龄妇女梅毒流行规律,为妇幼部门开展梅毒防治工作提供决策依据。方法:收集和整理该院孕产妇血清学筛查检测结果,结合梅毒初筛、确诊试验及临床诊断结果情况进行统计分析。结果:2010-2014年,该院共对17 519例孕产妇做了梅毒初筛和确诊试验,包括非梅毒螺旋体抗原血清学试验、梅毒螺旋体血凝试验和梅毒螺旋体抗原血清学试验等,共发现梅毒初筛及确诊均阳性者205人,检测阳性率为1.17%。按梅毒诊断标准共诊断梅毒199例,占97.07%(199/205)。其中以隐性梅毒最多,占45.73%(91/199),其次为Ⅰ期梅毒,占33.67%(67/199)。结论:2010-2014年,孕产妇梅毒筛查阳性检出率呈逐年上升趋势。应加强育龄妇女的梅毒防治知识宣传教育,加强孕产妇筛查体检工作,规范进行梅毒诊治,从而有效控制梅毒疫情,保护妇女身体健康。
Objective: To analyze the detection and diagnosis of maternal syphilis laboratory in Jinhua Maternal and Child Health Hospital from 2010 to 2014, and to explore the prevalence of syphilis in women of childbearing age and to provide decision-making basis for the prevention and control of syphilis in women and children. Methods: Serum screening test results of pregnant women in this hospital were collected and sorted out, combined with preliminary screening of syphilis, diagnosis test and clinical diagnosis results were statistically analyzed. Results: From 2010 to 2014, a total of 17 519 pregnant women were tested for syphilis, including serological tests of non-syphilis spirochetes, blood tests of syphilis spirochetes and serological tests of syphilis spirochetes. 205 were positive for syphilis screening and diagnosis, the positive rate was 1.17%. A total of 199 cases of syphilis were diagnosed by syphilis diagnostic criteria, accounting for 97.07% (199/205). Among them, latent syphilis accounted for 45.73% (91/199), followed by stage Ⅰ syphilis, accounting for 33.67% (67/199). Conclusion: From 2010 to 2014, the positive rate of screening of pregnant women with syphilis showed a rising trend year by year. Should strengthen the women of childbearing age syphilis prevention knowledge of publicity and education, strengthen screening of pregnant women checkup work, standardized syphilis diagnosis and treatment, so as to effectively control the epidemic of syphilis and protect the health of women.