广西2004—2014年梅毒流行病学特征分析  

Epidemiological characteristics of syphilis in Guangxi Zhuang Autonomous Region, 2004-2014

作　　者：段启志 李伟 凌霄 周志光 唐中书 朱邦勇 陈小丽 许凤妮 黄亚铭[2] 

机构地区：[1]广西壮族自治区皮肤病防治研究所,南宁530003 [2]广西壮族自治区疾病预防控制中心

出　　处：《中国公共卫生》2017年第8期1206-1209,共4页Chinese Journal of Public Health

基　　金：国家科技重大专项(2012ZX10004910)

摘　　要：目的分析广西梅毒流行病学特征及评价防制效果,为进一步制定防治策略提供科学依据。方法收集2004—2014年梅毒病例疫情资料,采用Excel 2003软件进行统计分析并制作图表。结果 2004—2014年广西发现梅毒病例共268 040例,梅毒病例已覆盖全省各市、县(区),2004—2011年每年梅毒病例呈逐年持续增多趋势,I期、II期、III期和胎传梅毒病例发病率最高达到26.83/10万。25~34岁年龄组男女性梅毒病例均达到高峰,发病率为14.94/10万。梅毒病例以农民为主,占总病例数的50.67%。梅毒发病率排前5位的市有3个为港口城市。采取行政干预后,各市县梅毒规范诊疗率逐年提高,2012年以后每年梅毒病例数及发病率逐年明显下降,2014年梅毒病例发病率下降至5.31/10万。结论 2012年以来,广西有效遏制了梅毒疫情持续上升的趋势,但仍需继续加强对梅毒病例的核查和规范化诊疗服务。Objective To analyze epidemiological characteristics and control effect of syphilis in Guangxi Zhuang Autonomous Region （Guangxi） and to provide a basis for developing efficient preventive strategies. Methods Data on syphilis epidemic in Guangxi from 2004 to 2014 were collected and analyzed using Excel 2003. Results Totally 268 040 syphilis cases （including primary, secondary, tertiary stage syphilis and congenital syphilis） were reported in all adminis- trative regions of Guangxi during the 11-year period and the annual incidents of syphilis showed a increasing trend from 2004 to 2011, with the highest annual incidence rate of 26. 83/100 000 in 2011. The highest age-specific incidence rate of 14. 94/100 000 was observed among both the men and the women at the age of 25 - 34 years. More than a half （50. 67% ） of the reported syphilis cases were farmer. Among the five municipalities with higher syphilis incidence rate, three are port cities. After implementation of intervention measures in 2012, the standardized diagnosis and treatment of syphilis were promoted and the incidence rate of syphilis decreased yearly, with the lowest annual incidence rate of 5.31/ 100 000 in 2014. Conclusion Although the increasing trend of syphilis incidence was controlled from 2012, surveillance and standardized diagnosis and treatment of syphilis still need to be reinforced in Guangxi.

关 键 词：梅毒 流行病学 特征 广西 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]