社区参与预防梅毒母婴传播的效果研究

Effect of community-participated intervention in preventing mother-to-child transmission of syphilis

  • 摘要: 目的 探讨社区参与预防梅毒母婴传播的效果。 方法 分析社区参与梅毒孕产妇和所生新生儿全程健康管理的效果。 结果 经社区医务人员实施健康管理干预, 2019年梅毒感染孕产妇孕早期确诊率及孕期治疗率高于2017、2018年,差异有统计学意义(P<0.05)。2019年新生儿不良妊娠结局发生率低于2017、2018年,梅毒产妇所生新生儿结案率和3~6月龄结案率高于2017、2018年,差异有统计学意义(P<0.05)。 结论 创建社区参与管理模式可以有效提高梅毒孕产妇的孕期确诊率和治疗率,降低新生儿不良妊娠结局发生率,提高梅毒产妇所生新生儿结案率。

     

    Abstract: Objective To explore the effect of community-participated intervention in preventing mother-to-child transmission of syphilis. Methods The effect of community-participated intervention in the whole process health management of syphilis pregnant women and newborns was analyzed. Results After health management intervention implemented by community medical staffs, the diagnosis rate in early pregnancy and treatment rate during pregnancy in syphilis pregnant women in 2019 were significantly higher than those in 2017 and 2018(P<0.05). The incidence of neonatal adverse pregnancy outcomes in 2019 was significantly lower than that in 2017 and 2018, and the neonatal closure rate and closure rate of case with age of 3 to 6 months in infants of syphilis mothers were significantly higher than those in 2017 and 2018(P<0.05). Conclusion The establishment of community-participated management model can effectively increase the diagnosis rate and treatment rate of syphilis pregnant women, reduce the incidence of adverse pregnancy outcomes of newborns, and increase the neonatal closure rate of syphilis mothers.

     

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