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目的分析宝安区2008～2009年孕产妇梅毒的监测结果及流行病学特征,有针对性地开展梅毒预防与控制工作。方法对宝安区236853名建卡孕产妇免费梅毒血清学筛查,收集梅毒血清学阳性孕产妇资料,进行流行病学分析。结果共检出孕产妇梅毒患者818例。28周前筛查的占多数;梅毒分期以潜伏梅毒为主;孕产妇年龄大多数在20～35岁;已婚者居多;文化程度以初中为主;职业以无业或家务为主,其次为工人;户籍类别以暂住人口和流动人口为主;传染来源主要是婚前性传播。结论宝安区低学历、无业、流动、育龄女性是妊娠梅毒多发人群,应重点加强该人群的道德规范教育和健康教育力度,加强孕产妇梅毒筛查,以有效遏制孕妇梅毒的传播和流行。
Objective To analyze the monitoring results and epidemiological characteristics of maternal syphilis in Baoan District from 2008 to 2009 and to carry out the prevention and control of syphilis in a targeted manner. Methods A total of 236,853 pregnant women in Bao’an District were enrolled in this study. Free syphilis serological screening and serological positive pregnant women were collected for epidemiological analysis. Results A total of 818 pregnant women with syphilis were detected. 28 weeks before screening, the majority of syphilis staging latent syphilis; maternal age mostly in 20 to 35 years of age; majority of married people; mainly in junior high school education; job to unemployed or house-based, followed by Workers; household registration categories to temporary and floating population-based; source of infection is mainly pre-marital sex. Conclusion Low education, unemployed, migrant and women of childbearing age in Baoan District are pregnant women with multiple syphilis populations. Efforts should be made to strengthen ethics education and health education in this population and to intensify syphilis screening in pregnant women so as to effectively contain the spread and prevalence of syphilis in pregnant women.