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梅毒血清固定患者的妊娠结局及随访研究

, PP. 1131-1134

Keywords: 梅毒,血清固定,妊娠结局

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Abstract:

目的探讨中药对梅毒血清固定患者的妊娠结局的影响及婴儿的血清学特点。方法孕前采用中药治疗的（32例）育龄期梅毒血清固定女患者为中药治疗组;对照组选择同期56例妊娠合并梅毒血清固定患者,根据孕期是否规范治疗分为青霉素治疗组（31例）和未治疗组（25例）。比较三组孕妇的妊娠结局,并定期随访母婴的血清结果。结果妊娠结局中药治疗组足月分娩率为90.63%,早产发生率为3.13%,不良结局（自然流产和死胎死产）发生率为6.25%青霉素治疗组分别为90.32%、6.45%和3.22%;未治疗组分别为88%、4%和8%;三组妊娠结局比较,差异无统计学意义（P﹥0.05）;新生儿预后中药治疗组分娩正常新生儿占96.67%、早产儿占3.33%、先天梅毒为0;青霉素治疗组分别为93.33%、6.67%和0;未治疗组分别95.65%、4.34%和0。三组新生儿预后比较,差异无统计学意义（P﹥0.05）;婴儿血清结果在随访过程中没有出现TRUST滴度持续上升,且滴度均结论梅毒血清固定患者在孕前给予中药治疗对妊娠结局无影响,定期随访是评估母婴预后的重要环节。

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