江苏省农村地区459例梅毒感染孕产妇的防治效果分析
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江苏省自然科学基金项目(BK2012529),教育部人文社科研究青年基金项目(11YJC630120)


Analysis of effectiveness of prevention and treatment of 459 cases of maternal syphilis in rural Jiangsu province
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    摘要:

    目的:调查分析江苏省农村地区预防梅毒母婴传播项目实施效果,为改善项目工作提供依据-方法:问卷调查江苏省农村地区自2010年项目实施以来发现的459例梅毒感染孕产妇,分析梅毒防治情况-结果:459例梅毒感染孕产妇中,90.2%用药治疗,规范治疗率为85.6%,94.0%分娩活产儿,目前尚未发现先天梅毒患儿,且苏南-苏中-苏北存在地区差异(P < 0.05)-25.7%的项目工作人员遇到不依从现象,苏南-苏中-苏北存在地区差异(P < 0.001)-妊娠梅毒患者对其信息保密的担忧,是影响依从性的主要因素-结论:项目实施促进了妊娠梅毒的母婴阻断,但还存在患者不依从和不规范治疗现象,且地区之间存在差异-

    Abstract:

    Objective:To investigate the effect of the syphilis prevention project of mother-to-child transmission in rural area of Jiangsu Province and make the rational planning for improving the project. Methods:A questionnaire survey was carried to interview 459 cases of maternal syphilis in rural area of Jiangsu Province who were diagnosed since the project started in 2010 to understand the control effect. Results:Ninety point two percent of 459 cases of maternal syphilis were administered with drug treatment,and the rate of standard treatment was 85.6%. Ninety-four percent of maternal syphilis patients had live births and no cases of congenital syphilis were found,and there were regional differences among southern Jiangsu,middle Jiangsu and northern Jiangsu (P < 0.05). Twenty-five point seven percent of staffs met the phenomenon of non-compliance with regional differences among southern Jiangsu,middle Jiangsu and northern Jiangsu (P < 0.001). The main factor influencing non-compliance was that pregnant patients with syphilis were worried about the confidentiality of their information. Conclusion:The project promotes the prevention of mother-to-child transmission of syphilis,but there are lots of non-compliance and non-standard treatment,which are different among different regions.

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林 松,徐 妍,林振平,王晓芳.江苏省农村地区459例梅毒感染孕产妇的防治效果分析[J].南京医科大学学报(自然科学版),2014,(8):1120-1123

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  • 收稿日期:2013-12-17
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  • 在线发布日期: 2014-08-03
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