【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。更多还原

【Abstract】 Objective:To investigate the effect of the syphilis prevention project of mother-to-child transmission in rural area of J iangsu Province and make the rational planning for improving the project.Methods:A questionnaire survey was carried to interview459 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.更多还原