目的 分析宣城市预防梅毒母婴传播项目中孕产妇梅毒检测率、梅毒感染孕产妇及其所生婴儿干预情况,评估预防梅毒母婴传播工作成效。方法 根据2013~2019年宣城市预防艾滋病、梅毒和乙肝母婴传播项目中的梅毒相关监测资料,对孕产妇及其所生婴儿的梅毒检测、治疗、随访等指标进行分析。结果 2013~2019年宣城市孕产妇梅毒检测率为99.97%,呈上升趋势(χ²_趋势=33.455,P<0.001)。孕产妇梅毒感染率为5.21‰,呈上升趋势(χ²_趋势=6.227,P=0.013)。在820例梅毒感染孕产妇中,梅毒治疗率为84.51%,规范治疗率60.98%,治疗率呈上升趋势(χ²_趋势=63.037,P＜0.001)。先天性梅毒发生率为1.98/10万。结论 宣城市孕产妇梅毒检测率、感染孕产妇治疗率均符合项目方案要求,预防梅毒母婴传播工作取得初步成效。

Objective To analyze the testing rate of syphilis in maternal women and the intervention of syphilis infected pregnant women and their babies,to evaluate the effectiveness of Prevention of mother-to-child transmission(PMTCT) project in Xuancheng City. Methods The syphilis data of Xuancheng City during 2013 to 2019 from the PMTCT project information system were used to analyze the indicators of syphilis testing, treatment and follow-up of pregnant women and their newborns. Results The syphilis testing rate of maternal women was 99.97% and increased from 2013 to 2019 in Xuancheng City (χ²_trend=33.455,P<0.001).The prevalence of syphilis among maternal women was 5.21‰, and increased from 2013 to 2019 (χ²_trend=6.227,P=0.013).Among the 820 positive pregnant women, the treatment rate was 84.51%,the standard treatment rate was 60.98%.The rate of congenital syphilis was 1.98/100,000. Conclusion The syphilis detection rate and treatment rate of infected pregnant women in Xuancheng City all meet the requirements of the project plan.The syphilis PMTCT project was effective in Xuancheng City.