2004—2010年宝鸡市梅毒流行趋势分析  

Epidemic trend of syphilis in Baoji City from 2004-2010

作　　者：梁文革[1] 陈晓英[1] 贾敏[1] 

机构地区：[1]陕西省宝鸡市疾病预防控制中心业务管理科,721006

出　　处：《职业与健康》2012年第3期352-353,共2页Occupation and Health

摘　　要：目的分析宝鸡市梅毒疫情流行趋势和特征,为制定防治策略提供科学依据。方法收集宝鸡市近年梅毒发病资料,进行描述流行病学分析。结果 2004—2010年累计报告梅毒病例1 407例,年均发病率为5.31/10万,梅毒年发病率及其在传染病疾病谱中的比重呈现明显上升趋势,各年度发病率差异有统计学意义(P<0.01),男女性别比为1.04∶1,男女梅毒发病率差异有统计学意义(P<0.05);农民、离退休人员、工人3项职业报告梅毒病例数居前3位,分别占报告病例数的49.18%、14.07%、10.16%,20～50岁年龄组占63.18%,65岁以上年龄组发病率较高。病例发病以隐性梅毒为主,一、二期梅毒次之。结论该市梅毒疫情上升迅速,出现发病由高危人群向普通人群扩散的趋势,职业高峰明显,呈典型的青壮年高发趋势,其防治形势十分严峻,应加强监测,加大卫生宣传和健康教育,实施综合干预措施,加强对医疗机构的监管力度,有效控制医源性感染,规范诊治梅毒病例,防止疫情漏报和误报。[Objective]To analyze the epidemic trends and characteristics of syphilis in Baoji City,and provide a scientific basis for developing control strategies.[Methods]The syphilis incidence data collected in Baoji City in recent years were analyzed with descriptive epidemiology,[Results]A total of 1 407 cases of syphilis were reported from 2004-2010,with the annual incidence of 5.3/100 000,showing a rising trend in the proportion of infectious disease spectrum,and the difference of annual incidence between years was significant（P0.01）,the ratio of male to female was 1.04∶1,with significant difference（P0.05）;The top 3 occupations of syphilis cases were farmers（49.18%）,retirees（14.07%）,workers（10.16%）,63.18% of cases were people aged 20-50 years old,and a relatively high incidence appeared in 65 years age group.Most cases were latent syphilis,followed by primary and secondary syphilis.[Conclusion]The epidemic of syphilis rises rapidly in this city,showing the tendency of spreading from high-risk group to general population,with obvious peak incidence in occupation and age group（young adults）,its prevention and control situation is very serious.Therefore,it is necessary to strengthen the monitoring,to scale up of health promotion and health education,to implement integrated intervention measures,to strengthen the supervision on medical institutions,to effectively control the iatrogenic infection,to standardize the treatment of syphilis cases,and to prevent the epidemic missing report and false alarms.

关 键 词：梅毒 分布 流行趋势 分析 

分 类 号：R181.3[医药卫生—流行病学]