目的评价吉林省预防梅毒母婴传播工作效果,查找工作中存在的问题。方法分析吉林省2015-2018年孕产妇梅毒感染情况,梅毒感染孕产妇接受母婴阻断服务情况及效果。结果 2015-2018年吉林省孕产妇梅毒检测率、孕期检测率、孕期确诊比例逐年上升,梅毒感染孕产妇治疗率、所生儿童预防性治疗率逐年上升,先天梅毒报告发病率逐年下降,差异均有统计学意义(P <0. 05)。结论通过为梅毒感染孕产妇提供母婴阻断服务,有效降低了吉林省先天梅毒发病的风险。梅毒感染孕产妇及所生儿童治疗工作有待加强。

Objective To evaluate the effect of mother-to-child transmission of syphilis program and explore the influencing factors of the program. Methods The data of pregnant women infected by syphilis during 2015-2018 were collected. The situation of maternal syphilis infection,the situation and effect of maternal and infant blocking service for pregnant women with syphilis infection were analyzed. Results From 2015 to 2018,the detection rate of syphilis,the detection rate of pregnancy and the proportion of diagnosis during pregnancy in Jilin Province increased year by year,the treatment rate of pregnant women with syphilis infection and the preventive treatment rate of children born by syphilis-infected mothers increased year by year,and the reported incidence of congenital syphilis decreased year by year. The difference was statistically significant( P < 0. 05). Conclusion The risk of congenital syphilis decreased through the implementation of prevention of mother-to-child transmission of syphilis. It should be reinforced for the treatment of pregnant women infected by syphilis and the children born by syphilis-infected mothers.