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棰勯槻浼犳煋鎬х柧鐥呮瘝濠翠紶鎾ā寮忓姊呮瘨姣嶅┐浼犳挱鐨勬帶鍒跺垎鏋?/h1>

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銆€鎽?nbsp;   瑕侊細銆€鐩殑 鎺㈣鍩轰簬棰勯槻浼犳煋鎬х柧鐥呮瘝濠翠紶鎾?PMTCT)妯″紡鐨勬姣掓瘝濠翠紶鎾帶鍒舵晥鏋溿€傛柟娉?閫夊彇10 600渚嬩簬鎴戦櫌杩涜浜ф鐨勫瓡濡囦綔涓虹爺绌跺璞★紝鏍规嵁浜ф鏃堕棿灏?018骞?鏈堣嚦9鏈堢殑5 300渚嬪瓡濡囪涓虹爺绌剁粍(鍩轰簬PMTCT妯″紡绠$悊)锛屽皢2016骞?鏈堣嚦9鏈堢殑5 300渚嬪瓡濡囪涓哄弬鐓х粍(甯歌妯″紡)銆傛瘮杈冧袱缁勭殑绠$悊鏁堟灉銆傜粨鏋?鐮旂┒缁勪笌鍙傜収缁勭殑濡婂鍚堝苟姊呮瘨瀛曞鍒嗗埆涓?7銆?6渚嬨€傜爺绌剁粍瑙勮寖娌荤枟鐜囬珮浜庡弬鐓х粍锛屼笉鑹濞犵粨灞€鎬诲彂鐢熺巼浣庝簬鍙傜収缁?P<0.05)銆傜粨璁哄熀浜嶱MTCT妯″紡绠$悊瀵规姣掓瘝濠翠紶鎾帶鍒舵晥鏋滄樉鐫€銆?/span>

棰勯槻浼犳煋鎬х柧鐥呮瘝濠翠紶鎾ā寮忓姊呮瘨姣嶅┐浼犳挱鐨勬帶鍒跺垎鏋? src=

銆€銆€鍏抽敭璇嶏細銆€姊呮瘨; 姣嶅┐浼犳挱; PMTCT妯″紡;

銆€銆€Abstract锛氥€€Objective To explore the control effect of mother to child transmission of syphilis based on prevention of mother to child transmission(PMTCT) model.Methods A total of 10 600 pregnant women who were examined in our hospital were selected as the study objects,5 300 pregnant women from January to September 2018 were set as study group(based on PMTCT model management),and 5 300 pregnant women from January to September 2016 were set as reference group(conventional model) by the time of birth inspection.The management effects of the two groups were compared.Results There were 17 pregnant women with syphilis in the study group and 16 pregnant women with syphilis in the reference group.The standard treatment rate in the study group was higher than that in the reference group,the total incidence of adverse pregnancy outcome was lower than that in the reference group(P<0.05).Conclusion The control effect of based on PMTCT model management on mother to child transmission of syphilis is significant.

銆€銆€Keyword锛氥€€syphilis; mother to child transmission; PMTCT model;

銆€銆€姊呮瘨鏄寚鐢辫媿鐧借灪鏃嬩綋寮曡捣鐨勬參鎬с€佺郴缁熸€х殑鎬т紶鎾柧鐥咃紝浼犳挱鏂瑰紡涓昏閫氳繃鎬т紶鎾€佹瘝濠翠紶鎾笌琛€娑蹭紶鎾璠1]銆傛姣掑凡缁忔垚涓轰竴涓叏鐞冩€у叕鍏卞崼鐢熼棶棰橈紝鍏舵祦琛岀姸鍐靛凡浣滀负鍙嶆槧鎬т紶鎾柧鐥呮祦琛屼笌鎺у埗鐨勯噸瑕佹寚鏍囷紝鍚屾椂涔熸槸琛¢噺涓€涓浗瀹跺叕鍏卞崼鐢熸按骞崇殑閲嶈鎸囨爣涔嬩竴銆傚敖绠$洰鍓嶅凡缁忔湁浜嗛拡瀵规姣掔殑鏈夋晥涓旂粡娴庣殑棰勯槻鍜屾不鐤楁帾鏂斤紝浣嗗叏鐞冩瘡骞存柊鍙戠敓鎰熸煋浜烘暟鍙揪鍒? 200涓囷紝鎰熸煋鐜囪緝楂榌2]銆傚濞犳湡姊呮瘨鏄寚鍙戠敓浜庝骇濡囧濞犳湡闂寸殑姊呮瘨锛屽厛澶╂姣掓槸鎸囨姣掕灪鏃嬩綋鎰熸煋鑳庣洏鑷翠娇鑳庡効鎮f湁鍏堝ぉ姊呮瘨锛岄拡瀵瑰濞犲悎骞舵姣掑瓡濡囷紝杩涜瀛曟湡淇濆仴绠$悊鎰忎箟閲嶅ぇ[3]銆傛湰鐮旂┒鏃ㄥ湪鎺㈣鍩轰簬棰勯槻浼犳煋鎬х柧鐥呮瘝濠翠紶鎾紙PMTCT锛夋ā寮忕殑姊呮瘨姣嶅┐浼犳挱鎺у埗鏁堟灉锛岀幇鎶ラ亾濡備笅銆?/span>

銆€銆€1銆?璧勬枡涓庢柟娉?/span>

銆€銆€1.1銆?涓€鑸祫鏂?/span>

銆€銆€閫夊彇鎴戦櫌10 600渚嬫帴鍙楄繃澶囧瓡妫€鏌ヤ笖鍦ㄥ尰闄㈡帴鍙椾骇妫€浣嗘湭鎺ュ彈姊呮瘨妫€鏌ョ殑瀛曞浣滀负鐮旂┒瀵硅薄锛屾牴鎹骇妫€鏃堕棿灏?018骞?鏈堣嚦9鏈堢殑5 300渚嬪瓡濡囪涓虹爺绌剁粍锛屽皢2016骞?鏈堣嚦9鏈堢殑5 300渚嬪瓡濡囪涓哄弬鐓х粍銆傜爺绌剁粍骞冲潎骞撮緞锛?5.64±4.21锛夊瞾锛涘弬鐓х粍骞冲潎骞撮緞锛?6.29±3.10锛夊瞾銆備袱缁勭殑涓€鑸祫鏂欐棤鏄剧潃宸紓锛圥>0.05锛夈€傛湰鐮旂┒缁忔垜闄鸡鐞嗗鍛樹細鎵瑰噯鍚屾剰锛屽瓡濡囧強瀹跺睘鍧囩煡鎯呭悓鎰忋€?/span>

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銆€銆€[1]姊侀洩鐞?涓囨灄閼?2013~2014骞撮緳鍗庢柊鍖哄瓡浜у姊呮瘨妫€娴嬫儏鍐电殑鍒嗘瀽[J].涓浗褰撲唬鍖昏嵂,2015,22(25):151-153.
銆€銆€[2]缃楁潖.姊呮瘨铻烘棆浣撲笉鍚屾娴嬫柟娉曞湪璇婃柇鏂扮敓鍎挎姣掍腑鐨勪环鍊兼瘮杈僛J].涓浗褰撲唬鍖昏嵂,2018,25(36):143-145.
銆€銆€[3]闄堟湁骞?宸皯褰?鏉庡浗寮?涓滆帪甯傝檸闂ㄩ晣灞呮皯姊呮瘨棰勯槻鐭ヨ瘑鐭ユ檽鎯呭喌鐨勮皟鏌J].涓浗褰撲唬鍖昏嵂,2018,25(5):157-159.
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銆€銆€鍘熸枃鍑哄锛氬垬鍏拌悕,鍒樿強鑺?鍒樻竻杩?鍩轰簬PMTCT妯″紡鐨勬姣掓瘝濠翠紶鎾帶鍒舵晥鏋淸J].涓村簥鍖诲鐮旂┒涓庡疄璺?2020,5(13):182-183.

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