2017-2018年宁波市镇海区医疗机构性病患者艾滋病和梅毒筛查情况分析  

Analysis of HIV antibody and syphilis detection of STD cases in hospitals in Zhenhai district, Ningbo, 2017-2018

作　　者：丁坚强[1] 陈婉君 刘巨敏[1] 项琼珊 DINGJianqiang;CHEN Wanjun;LIU Jumin;XIANG Qiongshan(Zhenhai District Center for Disease Control and Prevention,Ningbo City,315200,China;Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,Zhejiang)

机构地区：[1]宁波市镇海区疾病预防控制中心,浙江宁波315200 [2]浙江省疾病预防控制中心,杭州310051

出　　处：《中国艾滋病性病》2020年第6期615-617,共3页Chinese Journal of Aids & STD

基　　金：浙江省2018年艾滋病流行病学项目;镇海区卫计局医学科学计划项目(2017014)。

摘　　要：目的了解宁波市镇海区医疗机构报告的性病病例中开展艾滋病(AIDS)和梅毒筛查的情况,为制定下一步的艾滋病和梅毒筛查对策提供科学依据。方法导出传染病报告的五类性病病例,在各医疗机构检测系统核对艾滋病和梅毒的筛查情况,用SPSS对报告病例一般情况进行描述性统计分析,对不同年份、不同医院、不同科室等进行χ^2检验,以P<0.05为统计学意义。结果2017-2018年镇海区医疗机构共报告性病病例1077例,HIV筛查率为83.2%,不同年份(χ^2=4.39,P=0.036)、年龄(χ^2=34.58,P<0.001)、性别(χ^2=8.98,P=0.003)、医院(χ^2=14.40,P=0.002)、科室(χ^2=60.35,P<0.001)以及性病类型(χ^2=85.23,P<0.001)的HIV筛查率之间差异有统计学意义。除梅毒之外的四类性病共511例,梅毒筛查率为71.4%,不同年份(χ^2=10.72,P=0.005)、性别(χ^2=15.35,P<0.001)、医院(χ^2=13.01,P=0.043)、科室(χ^2=51.49,P<0.001)的四类性病梅毒筛查率差异有统计学意义。结论镇海区性病病例的艾滋病筛查率呈上升趋势,但除梅毒之外的四类性病开展艾滋病和梅毒筛查的工作有待进一步提升。Objective To understand the situation of HIV and syphilis detection of STD cases in hospitals in Zhenhai district of Ningbo city during 2017-2018,and to provide scientific basis for improvement of HIV and syphilis screening.Methods Five types of STD cases were selected from the infectious disease reporting system and the screening of AIDS and syphilis was conducted by the testing system of various medical institutions.Then SPSS was used for analysis.Chi square test was carried out for the analysis of different years,hospitals and departments,with p<0.05 as the statistical significance.Results From 2017 to 2018,a total of 1077 STD cases were reported by the hospitals,with the HIV test rate of 83.2%.There were significant differences in HIV detection rates among different years(χ^2=4.39,p=0.036),ages(χ^2=34.58,p<0.001),gender(χ^2=8.98,p=0.003),hospitals(χ^2=14.40,p=0.002),departments(χ^2=60.35,p<0.001)and STD types(χ^2=85.23,p<0.001).There were 511 cases of four types of STD except syphilis,with syphilis test rate of 71.4%.There were significant differences in syphilis screening rates among four types of STD cases in different years(χ^2=10.72,p=0.005),gender(χ^2=15.35,p<0.001),hospitals(χ^2=13.01,p=0.043)and departments(χ^2=51.49,p<0.001).Conclusion The HIV screening rate of STD cases in Zhenhai is on the rise.We need to improve HIV and syphilis screening of four types of STD except for syphilis.

关 键 词：性病 艾滋病 梅毒 筛查 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]