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目的了解毕节市预防梅毒母婴传播工作的实施情况,分析存在问题,为下一步有效实施预防梅毒母婴传播工作提供科学依据。方法采用预防艾滋病、梅毒和乙型肝炎母婴传播工作(IPMTCT)网络数据,结合Excel软件分析上报的表卡、网络直报月报表和阳性个案资料,分析2012-2014年毕节市梅毒感染孕产妇的个案相关资料。结果 2012-2014年,孕产妇梅毒阳性检出率为0.29%(609/209 398),孕期梅毒检测率67.30%(140 923/209398),孕产妇梅毒规范治疗率为14.43%(73/506),婴儿先天梅毒发生率为0.56%(3/539)。梅毒感染孕产妇所生婴儿中,新生儿死亡率由2012年9.17%(11/120)降至2014年1.27%(3/237),婴儿死亡率由2012年的10.00%(12/120)降至2014年的2.53%(6/237)。结论毕节市孕期梅毒检测率逐年上升,但梅毒阳性孕产妇规范治疗率极低,下一步工作重点是进一步提高孕期梅毒检测率,加强早孕期的筛查和规范治疗率。
Objective To understand the implementation of the prevention of mother-to-child transmission of syphilis in Bijie City, analyze the existing problems and provide a scientific basis for the effective implementation of the prevention of mother-to-child transmission of syphilis in the next step. Methods Based on the data of IPMTCT network, combined with Excel software to analyze the reported card, network monthly report and positive case data, we analyzed the prevalence of syphilis among pregnant women in Bijie City from 2012 to 2014 Case-related information. Results In 2012-2014, the positive rate of syphilis among pregnant women was 0.29% (609/209 398), the detection rate of syphilis during pregnancy was 67.30% (140 923/209398), and that of pregnant women was 14.43% (73/506) , The incidence of congenital syphilis in infants was 0.56% (3/539). The neonatal mortality rate among syphilis-infected pregnant women dropped from 9.17% (11/120) in 2012 to 1.27% (3/237) in 2014 and the infant mortality rate dropped from 10.00% (12/120) in 2012 To 2.53% (6/237) in 2014. Conclusion The detection rate of syphilis during pregnancy in Bijie increased year by year, but the standard treatment rate of pregnant women with positive syphilis was very low. The next step was to further increase the detection rate of syphilis in pregnancy and strengthen the screening and standard treatment rate in early pregnancy.