摘要
目的改善妊娠合并梅毒的妊娠结局并探讨恰当的治疗时间,降低先天性梅毒的发病率。方法将我院41例妊娠合并梅毒孕产妇分为两组,治疗组25例,非治疗组16例,比较两组妊娠结局、新生儿预后及先天梅毒患儿发生情况。结果足月分娩率治疗组为84.00%(21/25),未治疗组仅为56.25%(9/16),治疗组孕妇妊娠结局明显好于未治疗组,差异有统计学意义(P<0.05);治疗组新生儿预后明显好于非治疗组(P<0.05);治疗孕周与非正常儿的发生率成正比,即开始治疗的时间越早,非正常儿的发生率越低(P<0.05)。结论妊娠合并梅毒患者可能发生不良妊娠结局,但在孕早期行规范的抗梅毒治疗,能有效改善妊娠结局及新生儿的预后,降低围生儿的死亡率。
Objective To improve pregnancy outcomes of pregnancy with syphilis, explore how to appropriate the treatment time and reduce the incidence of congenital syphilis. Methods A total of 41 pregnant women with syphilis maternal were divided into two groups： the treatment group （25 cases） and the non-treatment group （16 cases）. The pregnancy outcomes, neonatal outcomes and congenital syphilis of children were compared. Results The term delivery rate of the treatment group was 84.00% （21/25）, the untreated group, only was 56.25% （9/16）. The pregnancy outcome of pregnant women in the treat- ment group was significantly better than that of the untreated group＇ s, the difference was statistically significant （P 〈 0.05）; the neonatal outcomes of the treatment group was significantly better than the non-treatment group＇ s （P 〈 0.05）. Conclusion The adverse pregnancy outcomes may occur in pregnant women with syphilis, anti-syphilis treatment in early pregnancy can effectively improve pregnancy and neonatal outcomes and reduce the mortality of perinatal children.
出处
《中国现代医生》
2012年第34期49-50,52,共3页
China Modern Doctor
关键词
妊娠合并梅毒
产妇
Pregnancy with syphilis
Maternal
