对入出西藏樟木口岸的尼泊尔司乘人员性传播疾病检测结果分析  

The Detection Results Analysis of STD on Nepalese Truck Drivers at Zhangmu Frontier Port in Tibet

作　　者：索朗卓玛 拥巴 白玛 兰晓 土登 李守华 

机构地区：[1]西藏出入境检验检疫局,拉萨850001

出　　处：《旅行医学科学》2005年第2期15-16,18,共3页

摘　　要：目的了解和分析在西藏樟木口岸频繁入出境的尼泊尔司乘人员性传播疾病(STD)感染情况,为控制口岸传染病的流行,防止性传播疾病在口岸的蔓延提供科学依据。方法采用实验室检测、临床体检以及流行病学个案调查相结合的方法.对频繁入出境的尼泊尔司乘人员检测 HIV 抗体、梅毒、乙肝和丙肝等项目。结果 399名尼泊尔司乘人员中检出 HIV 感染者1例,梅毒感染者36例,未检出乙肝和丙肝。通过临床体检和个案病史询问,均无静脉吸毒和输血史。36名梅毒感染者均在潜伏期。不同年龄间有显著差异0.05<P<0.025。15—35岁人群感染较多;不同文化程度间有显著差异 P<0.1;已婚与未婚间无差异。结论该人群感染艾滋病、梅毒主要为性传播途径。在口岸人群中,尼泊尔司乘人员流动性大,属于高危人群,他们对性传播疾病的认识不足,不仅自我保护意识不强,而且对口岸人体健康也造成严重威胁,因此,检验检验机构要依法加强对尼泊尔司乘人员性传播疾病检测和管理,切实保护口岸人体健康。未检出病毒性肝炎与尼泊尔人的饮食习惯有关。OBJECTIVE To understand and analyze Nepalese truck drivers who infected STD situation among frequently coming into China, in order to provide scientific reference for the purpose of controlling and preventing infectious disease at frontier port. METHODS To adopt laboratory detection, clinical check - up and Epidemiological case survey combine together, detected HIV antibody, syphilis, hepatitis B and C etc. item to the frequent entry- exit Nepalese trunk drivers. RESULTS One case of HIV career and 36 syphilis infection were detected, the syphilis detected rate is 9. 02% but not found hepatitis B and C. Through clinical check- up inquire with the individual cases disease history, all have no drug taking by vein and blood transfusion history. 36 syphilis infections were all in the incubation period. The different age groups shows the significant difference （ P 〈 0. 05） , 15 - 35 age class infections are more. The different culture degree shows the significant difference（ P 〈 0. 01 ）; There is no any difference between married and unmarried. CONCLUSION Nepalese truck drivers infected HIV and syphilis by sexual behavior. They frequent entry - exit the frontier port, belong to highly risk group of spreading STD. We must pay a great attention to them, to strengthen the STD surveillance and management. There were not detected hepatitis B and C, the primary reason is related to their dietary habit probably.

关 键 词：出入境检查 西藏 樟木口岸 尼泊尔 司乘人员 性传播疾病 梅毒 爱滋病 

分 类 号：R759[医药卫生—皮肤病学与性病学] R185.35[医药卫生—临床医学]