呼和浩特市2006～2009年妊娠梅毒168例临床分析

目的：探讨改善妊娠梅毒的妊娠结局和围产儿预后的评估。方法：对2006～2009年呼和浩特市地区妊娠梅毒患者分为治疗组和未治疗组,比较两组孕妇的妊娠结局和梅毒儿的发病情况。结果：2006～2009年妊娠梅毒的发病率呈上升趋势。治疗组足月妊娠率93.15%,早产、死胎的发生率分别是14.98%和1.00%,高于李佳纹[1]的81.32%、23.08%和72.00%。两组妊娠结局差异有统计学意义（P〈0.05）。治疗组、未治疗组先天梅毒儿发病率分别为28.08%和70.19%,两组比较差异有统计学意义（P〈0.05）。结论：应加强梅毒防治工作的力度,对妊娠梅毒患者及早诊治,足量规范全程给与青霉素治疗。可以明显改善妊娠梅毒的结局和围产儿预后,从而降低梅毒儿的发生,全面实施健康教育,对高危人群的行为干预等综合防治措施,大力提倡婚前梅毒血清学的筛查。

The Clinical Analysis of 168 Pregnant Syphilis Patients From 2006 to 2009 in Huhhot

Objective：To discuss to improve the assessment of result in pregnant syphilis patients and the fetuses.Methods： We divided pregnancy syphilis patients in Hohhot from 2006 to 2009 into the treatment group and the treatment group,and contrast the result from two groups of pregnant women and the situation of the newborns.Results： The infection rate of pregnancy syphilis was rising from 2006 to 2009.The treatment of the rate of normal parturition was 93.15%,the occurrence rates of preterm and death fetuses were 14.98% and 1.00%.The data was higher than then the data of Jiawen Li（81.32% and 23.08%）.Result from the two groups of pregnant patients was apparently different（P0.05）.Conclusion： We should strengthen syphilis control work,and give early treatment 、enough and regulate penicillin to the pregnancy syphilis patients,and then the result from two groups of pregnant women and the situation of the newborns can be improved.