Analysis of the Current situation of Syphilis in a Sexually Transmitted Disease Clinic  

性病门诊中梅毒感染现况分析(英文)

作　　者：郑华[1] 马蕾[1] 

机构地区：[1]吉林大学第一医院皮肤性病科,长春130021

出　　处：《Chinese Journal of Sexually Transmitted Infections》2005年第1期17-20,共4页中华性传播感染杂志（英文版）

摘　　要：Objective： To analyze the current situation of syphilis in the sexually transmitted diseases （STDs） clinic, from January 1994 to December 2002 was studied. Methods： All syphilis patients were confirmed by history, physical examination, dark-field microscopy of samples taken from the chancre or satellite lymph nodes,or positive serological tests. Results： From 1994 to 2002, there were 2067 cases of early syphilis, accounting for 20.01% （2067/10330） of all STD cases. The annual proportion of syphilis cases among all STD cases from 1994 to 2002 was 0.57%, 0.53%, 3.54%, 16.20%, 31.29%, 27.88%, 25.63%, 17.11%, 10.48%, respectively. Of 2067 syphilis patients,49.64% （1026/2067） were male and 50.36% （1041/2067） were female. 44.75% （925/2067） of all cases presented with primary syphilis, 44.90% （928/2067） with secondary syphilis, 9.77% （202/2067） with latent syphilis （without any conspicuous clinical signs or symptoms）, and 0.58% （12/2067） with congenital syphilis. The 30-39 year old cohort accounted for the largest proportion, at 37.68% （779/2067） of all syphilis cases. The 20-29 year old cohort also accounted for a large proportion, at 37.20% （769/2067） of all cases,followed by the 40-49 year old cohort, at 17.95% （371/2067）. Syphilis was most prevalent among the unemployed,self-employed laborers, and office workers in decreasing order. The majority of cases were graduates of either primary school, high school, or college. Of all syphilis cases, 87.86% （1816/2067） were married, and 12.14%（251/2067, including children） were unmarried. 76.78% （1587/2067） of all cases were acquired through extramarital intercourse. 14.03% （290/2067） of cases were infected by their spouses. 0.58% （12/2067） of cases were due to vertical transmission. 8.61% （178） of cases were acquired through indirect contact. Conclusion： The proportion of syphilis infection among all STDs remained stable from 1994 to 1995,quickly and dramatically increased from 1996 to 1999,and 目的为了分析性病门诊中梅毒的感染趋势,我们研究了1994-2002年梅毒的发病状况。方法全部病例均经过询问病史、临床检查、梅毒螺旋体或梅毒血清学检测阳性而确诊。结果梅毒为2067例,占性病总人数的20.01%(2067/ 10330)。其中1994-2002年梅毒占每年性病总数的比例分别为0.57%,0.53%,3.54%,16.20%,31.29%,27.88%,25.63%. 17.11%,10.48%。男性占49.64%(1026/2067),女性占50.36%(1041/2067)。一期梅毒925例(44.75%),二期梅毒928 例(44.90%),早期潜伏梅毒202例(9.77%),早期胎传梅毒12例(0.58%)。发病年龄以30-39岁最多,其次是20-29岁, 第三是40-49岁,1997年起有胎传梅毒病例的发生。职业分布前三位为无职业者、干部、职员。文化程度以中学、大学、小学为主。已婚者1816例,未婚者251例(儿童14例)。非婚性接触1587例,配偶传播290例,母婴传播12例,间接接触(不详)178例。结论1994-1995年,梅毒病例偶发,1996-1999年,梅毒总体呈快速发展的趋势,2000-2002 年,梅毒的发病率及占性病总数的比例开始逐年降低。但应注意的是胎传梅毒发生的增多。

关 键 词：SYPHILIS PREVALENCE 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]