2005-2009年海南省皮肤病医院性病门诊梅毒、淋病检测结果分析  

Detecting Results of Syphilis,Gonorrhea in Dermatology Hospital in Hainan Province STD Clinic from 2005 to 2009

作　　者：郑文爱 钟娜 王芳乾 陆玉珠 朱海花 

机构地区：[1]海南省皮肤病医院,海南海口570206

出　　处：《中国皮肤性病学杂志》2011年第12期960-961,978,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的分析性病(STD)门诊就诊者梅毒螺旋体抗体、淋球菌的阳性率,以了解两种病原体在人群的流行情况。方法梅毒螺旋体抗体用TRUST和TPPA法检测,TRUST试验阳性或可疑标本进行滴度检测。淋病奈瑟菌用淋球菌专用培养基培养。结果 2005-2009年2930份检测梅毒的血清标本中,阳性590份,占20.14%,男278例,女288例,婴儿24例;男女阳性比例1:1.04,女略多于男。梅毒检测结果显示2005和2006年度阳性率较平稳,2007年有所升高,2008年稍降后2009年又呈现上升趋势。进行淋球菌培养的1865份尿道或宫颈分泌物中,阳性208例,占11.15%,其中男191例,女17例,男女比例为11.24:1。2005-2009年度淋球菌检测阳性率呈现逐年下降的趋势。结论女性和婴儿梅毒的检测阳性率在不断上升,说明随着女性梅毒病例数的增加,胎传梅毒也相应增多。女性就诊淋病者较少。高年龄组的感染者主要为男性,说明老年男性也是急需加强性病预防教育的人群。Objective To analyze the infection rate of Treponema pallidum antibody and Gonococcus in the STD clinic patients, and understand the infection of the two kinds of pathogens in the population. Methods Treponema pallidum antibody were tested with TRUST and TPPA assay. Positive or suspicious samples in TRUST test were traced titer. Neisseria gouorrhoeae were cultured in special media. Results 2 930 syphilis serum samples were detected in 2005 -2009 year, 590（20.14% ） were positive, including 278 male,288 female, 24 infants. The male and female-positive ratio was 1 ： 1.04, and women slightly outnumber men. The results showed that the annual syphilis infection rate relatively stable both in 2005 and 2006, 2007 has increased, a slight decrease in 2008 and 2009 after the rise. 1 865 cultivation of Neisseria gonorrhoeae in urethral or cervical secretions were tested , the positive persons were 208 （11.15%）, including 191 male and 17 female. The ratio of man to the woman was 11.24： 1. The positive rate of detection of Neisseria gonorrhoeae in 2005 -2009 years showed a downward trend year by year. Conclusion Women and infants tested positive for syphilis rates on the rise, indicating the number of syphilis cases with the increase in female child transmission of syphilis also increase. Gonorrhea were fewer in female patients, mainly related with the physiological characteristics of women, asymptomatic cervical gonococcal infection caused by easily ignored. High age group infected is mainly in male, it means that older men also urgent need to be strengthen STI prevention education in the crowd.

关 键 词：STD门诊 梅毒螺旋体抗体 淋病奈瑟菌 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R759.2[医药卫生—临床医学]