87例梅毒流行病学调查分析  

EPIDEMIOLOGICAL INVESTIGATION OF 87 CASES OF SYPHILIS

作　　者：高虹 

机构地区：[1]云南省第三人民医院感染管理科,昆明650011

出　　处：《现代预防医学》2011年第9期1608-1609,1615,共3页Modern Preventive Medicine

摘　　要：[目的]探讨梅毒的发病规律和临床特征,为梅毒的防治提供科学依据。[方法]通过对2009年9月～2010年9月某院就诊的门诊和住院患者发现的87例梅毒患者进行流行病学个案调查分析,梅毒快速血浆反应素环状卡片试验(RPR)和梅毒螺旋体抗体颗粒凝聚试验(TPPA)均为阳性者诊断为潜伏感染。只有TPPA阳性者诊断为既往感染。[结果]年龄分布:患者的年龄段分布在71～80岁最多,有24例,占27.60%,其次是31～40岁,有17例,占到19.50%,再依次为61～70岁,有16例,占到18.4%,21～30岁,有11例,占到12.60%,51～60岁,有10例,占到11.50%,最少的是41～50岁,有9例,占到10.30%;与婚姻的关系:未婚只有1例,占1.15%,已婚者86例,占到98.85%;与职业的关系:工人最多,有47例,占到54.00%,民工24例,占到27.60%,农民有10例,占到11.50%,干部只有6例,占到6.90%。[结论]在各个年龄段都有梅毒发病,在71～80岁最多,在行业分布中,工人最多,应通过强化监测、宣传及注重知识的普及,来综合干预梅毒的传播及病情的蔓延。[Objective]To investigate the incidence of syphilis and its clinical features,in order to provide the scientific basis for prevention and treatment of syphilis.[Methods]87 outpatients and hospitalized patients with syphilis from September 2009 to September 2010 in our hospital were selected for epidemiological investigation,syphilis rapid plasma reagin circle card test（RPR）and Treponema pallidum antibody aggregation test（TPPA）were carried out to dianoge positive cases as latent infection cases.The positive cases diagnosed only by TPPA were past infection.[Results]Age distribution：the age distribution of patients was from to 71 to 80 years,24 cases,accounting for 27.60%;followed by 31 to 40 years old,17 cases,accounting for 19.50%;and 61 to 70 years,16 cases,accounting for 18.4%;21 to 30 years old,11 cases,accounting for 12.60%;51 to 60 years,10 cases,accounting for 11.50%;41 to 50 years old,9 cases,accounting for 10.30%.And the marriage relationship：single only 1 case,accounting for 1.15%;married 86 cases,accounting for 98.85%.Professional relationship：most were workers,47 cases,accounting for 54.00%;24 cases of migrant workers,accounting for 27.60%;farmers 10 cases,accounting for 11.50%;only 6 cases of cadres,accounting for 6.90%.[Conclusion]The incidences of syphilis are found at all ages,the highest incidence is found from 71 to 80 years and among workers.Strengthening the monitoring,promotion and popularization of knowledge is for comprehensive intervention of the spread of syphilis and the spread of the disease.

关 键 词：梅毒 流行病 调查 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]