精神分裂症患者梅毒感染的流行病学调查  

Study on Syphilis Infection among Inpatients with Schizophrenia

作　　者：谭梅娟[1] 李靖 TAN Mei-juan;LI Jing(Brain Hospital of Hunan Province,Changsha 410007,China;the First Hospital of Changsha,Changsha 410011,China)

机构地区：[1]湖南省脑科医院,长沙410007 [2]长沙市第一医院,长沙410011

出　　处：《现代检验医学杂志》2018年第4期125-126,130,共3页Journal of Modern Laboratory Medicine

基　　金：湖南省卫生计生委科研基金课题(B2015-105);湖南省自然科学基金项目(2015JJ6084)

摘　　要：目的了解精神分裂症住院患者梅毒感染的患病状况,为该人群梅毒的防治提供依据。方法对2014~2016年间住院精神分裂症患者梅毒感染病历资料进行调查分析。结果 2014~2016年精神分裂症住院患者共7 459例,检出梅毒感染者57例,年平均感染率为0.76%,以隐形梅毒为主,占63.16%。女性精神分裂症住院患者梅毒感染率高于男性(0.98%vs 0.55%),且差异有统计学意义(χ~2=4.475,P<0.05)。精神分裂症住院患者梅毒感染的患病年龄段主要为21~40岁,占全部梅毒患者的43.86%,且以农村患者为主,占63.16%。女性不同年龄段精神分裂症患者梅毒感染率的差异有统计学意义(χ~2=10.505,P<0.05),且城乡分布差异有统计学意义(χ~2=8.243,P<0.01)。结论精神分裂症住院患者梅毒的年平均感染率基本持平,精神分裂症住院患者梅毒感染的高发人群为农村女性患者。因此,应加强农村女性精神分裂症患者及家属的梅毒相关知识健康教育,采取有效的控制措施,降低该类人群梅毒感染率。Objective To investigate the epidemiological status of syphilis infections among inpatients with schizophrenia.Methods Patient data from cases of syphilis infection among inpatients with schizophrenia were statistically analyzed.Results Totally 7 459 inpatient cases were detected during 20142016 period,and 57 cases were positive in syphilis infection while the annual positive rate was 0.76%.The positive rate of female in patients with schizophrenia was higher than males（χ2=4.475,P〈0.05）.The inpatients with schizophrenia aged 2140 years old were the most susceptible populations to be infected with syphilis,accounting up 43.86%.Those coming from rural areas were likely to infected with syphilis,accounting up 63.16%.There was a significant difference on the age distribution of syphilis infection（χ2=10.505,P〈0.05）among female inpatients with schizophrenia,while the rate of female inpatients coming from rural areas was higher than that of urban（χ2=8.243,P〈0.01）.Conclusion The rate of syphilis infection was in a steady state and the female inpatients with schizophrenia coming from rural areas were in high incidence of syphilis infection.Health education should be strengthen for those population to reduce the risk of syphilis infection.

关 键 词：梅毒 精神分裂症 住院患者 流行病学 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R377.1[医药卫生—临床医学]