广州市2005～2010年4种性病监测结果分析  

Analysis on 4 Kinds of STIs Surveillance Results from 2005 to 2010 in Guangzhou

作　　者：黄雪梅[1] 汤少开[1] 叶兴东[1] 何婉苹[1] 刘颖[1] 朱慧兰[1] 张锡宝[1] 

机构地区：[1]广州市皮肤病防治所,广东广州510095

出　　处：《皮肤性病诊疗学杂志》2013年第3期207-210,共4页Journal of Diagnosis and Therapy on Dermato-venereology

基　　金：广东省科技计划(编号:2012B031800014);广州市医药卫生重大科技项目(编号:2012A031001)

摘　　要：目的:分析广州市2005～2010年性病监测点4种性传播感染疾病(sexually transmitted infec-tions,STIs)实验检测结果和趋势资料,探讨以性病门诊为依托的综合干预模式在我市STI防治中的作用。方法:收集、分析广州市15个性病监测点2005～2010年6年间每年上报的HIV、梅毒螺旋体(TP)、奈瑟氏淋病双球菌(GC)、沙眼衣原体(Ct)4种STIs的实验室检测数据;同时,收集中国疾病预防与控制中心疫情报告网上广州市2005～2010年历年报告的梅毒、淋病、Ct感染及AIDS病例,分析疫情趋势。结果:15个性病检测点连续6年的STIs实验室检测表明:HIV监测阳性率趋势平稳,TP、GC、Ct的监测阳性率均呈下降趋势。其中,TP阳性率由4.06%下降至2.83%;GC阳性率由5.16%下降至1.66%;Ct阳性率由9.42%下降至3.38%。疫情报告网资料显示广州市2005～2010年艾滋病发病趋势平稳,淋病、Ⅰ期、Ⅱ期梅毒继续下降,潜伏梅毒和Ct感染则呈上升趋势。结论:以性病门诊为依托的综合干预模式对控制广州市性病流行有重要作用,淋病、Ⅰ期、Ⅱ期梅毒呈连续下降趋势,Ct感染及潜伏梅毒呈现上升趋势,提示性病的防治工作需要更加重视Ct感染和潜伏梅毒研究。Objective：To analyze STIs pathogen surveillance results collected from STIs sur- veillance spots, and explore the effect of STIs intervention programs in Guangzhou. Methods：In- tervention information and laboratory results of HIV, RPR/TPPA, Nesseria Gonorrhea and Chlamydia trachomatis were collected from 15 STIs surveillance spots each year from 2005 to 2010. Data of these diseases were also collected from the STIs case report system of the China CDC. Results：Results of STIs pathogen surveillance showed that positive rate of RPR/TPPA, GC and Ct infection declined from 2005 to 2010, positive rate of RPR/TPPA decreased from 4.06% to 2. 83%, GC from 5. 16% to 1.66 and Ct from 9. 42% to 3.38% respectively. HIV positive rate was stable. Data from the case report system of the CDC showed that gonorrhea, early syphilis （primary and second syphilis） also declined, but C. trachomatic infection and latent syphilis in- creased. Conclusion：The general intervention model based on STIs clinical services plays a vital role in controlling STIs spread in Guangzhou. Gonorrhea and primary and second syphilis have al- ready declined, but C. trachomatis infection and latent syphilis levels are still on rising, necessary steps must be taken to control the epidemic.

关 键 词：性传播疾病 监测 趋势 行为干预 

分 类 号：R759[医药卫生—皮肤病学与性病学]