妊娠合并梅毒的临床特点与预防方法分析

目的:分析妊娠合并梅毒的临床特点及预防方法。方法:选取2010年1月至2015年12月100例医院收诊行常规治疗措施的妊娠合并梅毒患者为观察组,再选取100例未采取治疗措施的妊娠合并梅毒患者为对照组,比较两组患者的妊娠结局以及围产儿预后等方面差异。结果:观察组100例患者中,2例流产、12例早产、2例死胎、84例足月产;对照组100例患者中,13例流产、42例早产、11例死胎、34例足月产,观察组妊娠结局显著优于对照组(P0.05)。观察组100例新生儿中,10例低体质量围产儿、4例新生儿死亡、13例先天性梅毒、6例宫内胎儿窘迫;对照组100例新生儿中,30例低体质量围产儿、24例新生儿死亡、43例先天性梅毒、22例宫内胎儿窘迫,观察组新生儿结局显著优于对照组(P0.05)。结论:妊娠合并梅毒严重影响了产妇及新生儿的健康安全,需要采取积极的治疗措施,改善妊娠结局和新生儿结局。

Clinical characteristics and prevention of pregnancy complicated with syphilis

Objectives:To explore the clinical characteristics and prevention of pregnancy complicated with syphilis.Methods:100 pregnant women with syphilis treated with conventional treatment in our hospital from January 2010 to December 2015 were selected as observation group,while 100 untreated pregnant women with syphilis were selected as control group.The pregnancy outcomes and perinatal outcomes were compared between the two groups.Results:Among the 100 patients in the observation group,there were 2 cases of abortion,12 cases of premature birth,2 cases of fetal death and 84 cases of full-term.In the 100 patients in the control group,there were 13 cases of abortion,42 cases of premature delivery,11 cases of stillbirth and 34 cases of full-term pregnancy.The pregnancy outcome of observation group was significantly better than the control group (P ＜ 0.05).Among the 100newborns in the observation group,there were 10 cases of low body mass,4 cases of neonatal perinatal death,13 cases of congenital syphilis and 6 cases of intrauterine fetal distress.Among the 100 newborns in the observation group,there were 30 cases of low body mass,24 cases of neonatal perinatal death,43 cases of congenital syphilis and 22 cases of intrauterine fetal distress.The neonatal outcome of the observation group was significantly better than the control group (P ＜ 0.05).Conclusion:Pregnancy associated with syphilis seriously affects the health and safety of mothers and newborns,so positive measures need to taken to improve pregnancy outcomes and neonatal outcomes.