甘肃省2004-2016年梅毒流行特征分析  

Analysis of epidemiological characteristics of syphilis in Gansu,2004-2016

作　　者：李莉[1] 马丽丽 余爱玲[1] 王斌[1] 苟伟斌[1] 胡晓斌 李慧[1] 

机构地区：[1]甘肃省疾病预防控制中心,甘肃兰州730000 [2]兰州大学公共卫生学院

出　　处：《中国公共卫生管理》2017年第6期760-763,766,共5页Chinese Journal of Public Health Management

摘　　要：目的分析甘肃省2004-2016年梅毒的流行特征及规律,为进一步控制梅毒疫情提供科学依据。方法采用描述流行病学方法对甘肃省2004-2016年梅毒监测信息进行统计分析。结果甘肃省2004-2016年共报告梅毒40447例,年均报告发病率为15.89/10万;发病率呈逐年上升趋势,发病率年均增长率为14.40%;以隐性梅毒为主,占发病总数的65.30%;发病年龄以20~49岁人员为主,占全省报告病例数的55.76%(22 553/40 447),平均发病率女性略高于男性;70岁以上老年人群梅毒报告发病率从2004年的0.17/10万增长到2016年的4.25/10万,年均增长38.14%,男性平均发病率略高于女性;男女比为1.01∶1;职业以农民为主,占46.93%,离退休年人员呈快速增长趋势,占11.28%。全省14个地州市中发病率较高的是甘南藏族自治州、嘉峪关市、兰州市;最低的是定西市。结论甘肃省梅毒疫情呈逐年上升趋势,人口流动多的中心城市及少数民族地区发病较多,隐形感染为主,深入开展梅毒的一级预防刻不容缓。Objective To analyze the epidemiological characteristics of syphilis in Gansu province from 2004 to 2016 and provide scientific basis for controlling the epidemic situation of syphilis. Methods A descriptive epidemiological method was used to analyze the distribution of syphilis in Gansu province from 2004 to 2016. Results There were 40 447 cases of syphilis reported in Gansu province from 2004 to 2016. The average annual incidence rate was 15. 89/100000 with an average growth rate of 14. 40% a year and an increasing trend; The most cases were latent syphilis patients,accounting for 65. 30%.The largest proportion of the cases were in the group of aged between 20 and 49,accounting for 55. 76%（ 22553/40447）;the average incidence rate for female was higher slightly than that for male. The reported incidence of the syphilis patents aged over 70 increased by 38. 14% from 0. 17/10 0000 in 2004 to 4. 25/10 0000 in 2016; The average incidence rate for male was higher that of female with gender ratio of 1. 01： 1. Among the cases reported,46. 93% of the patients were farmers and the numbers of retired patients raised rapidly,accounting for 11. 28%. The incidences of the syphilis in Tibetan Autonomous Prefecture,Jiayuguan city,Lanzhou city were higher and the lowest in Tianshui city in fourteen cities in Gannan. Conclusion The epidemic of syphilis in Gansu province is increasing year by year. The incidence of infectious diseases in the central cities with more floating population and minority areas is higher,and stealth infection of is the main factor,so it is urgent to carry out the primary prevention of syphilis.

关 键 词：梅毒 流行特征 趋势 分析 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R183.7[医药卫生—临床医学]