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目的了解呼市地区孕妇梅毒流行状况,为制订防治策略提供科学依据。方法对2006-2010年呼市地区265例孕妇梅毒病例资料进行流行病学分析。结果孕妇梅毒的发病呈逐年上升趋势,以潜伏梅毒为主。一期梅毒发病率高于二期梅毒;孕妇梅毒感染者主要在20～39岁年龄段,占65.05%,40岁以上占1.75%;职业以个体、待业居多,工人、农民次之,干部职员比例也有所增高,分别占23.44%、18.19%、11.57%、8.52%、7.22%。结论孕妇梅毒是危害围产儿的严重合并症,围产期应常规开展孕妇梅毒血清学的产前筛查工作。在梅毒高流行区或高危人群,尚需在孕28周和分娩时分别作血清学检查。一旦确诊,应尽早、足量、正规给与青霉素治疗,并加强新生儿随访。孕期梅毒有效的青霉素治疗,将降低围产儿死亡率及先天梅毒的发生。
Objective To understand the prevalence of syphilis among pregnant women in Hohhot, and to provide a scientific basis for formulating prevention and control strategies. Methods The epidemiological data of 265 pregnant women with syphilis in Hohhot from 2006 to 2010 were analyzed. Results The incidence of syphilis in pregnant women showed an increasing trend year by year, mainly latent syphilis. The incidence of syphilis in primary stage is higher than that of secondary syphilis. The pregnant women with syphilis infection are mainly in the age group of 20-39 years old, accounting for 65.05% and those over 40 years old accounting for 1.75%. Occupation is individual, unemployed majority, worker and farmer are secondary, The proportions also increased, accounting for 23.44%, 18.19%, 11.57%, 8.52% and 7.22% respectively. Conclusion Pregnant women with syphilis is a serious complication of perinatal harm, perinatal period should be routine pregnant women pre-serological syphilis screening. In areas of high prevalence of syphilis or at high risk, serological tests are still required at 28 weeks of gestation and at delivery. Once diagnosed, should be as early as possible, adequate, regular given penicillin treatment, and to enhance neonatal follow-up. Effective penicillin treatment of syphilis during pregnancy will reduce perinatal mortality and congenital syphilis.