某大型综合医院2014-2018年性病患者临床资料分析  

Analysis of clinical data of sexually transmitted diseases patients in a large general hospital from 2014 to 2018

作　　者：杨帆[1] 雷鹏真[1] 李晓晴[1] 杨励[1] 吴娜[1] YANG Fan;LEI Pengzhen;LI Xiaoqing;YANG Li;WU Na(Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2021年第5期13-15,18,共4页Clinical Research and Practice

摘　　要：目的分析陕西省人民医院性病患者的分布情况,探讨性病在综合医院中的现状及流行病学特征,为调整现有性病防治方案提供新思路。方法回顾性分析2014年1月至2018年12月某综合医院确诊的梅毒、尖锐湿疣、淋病、生殖器疱疹、生殖道沙眼衣原体感染的5类性病患者的临床资料。结果共确诊7704例性病患者,其中前三位的分别为梅毒5942例(77.13%)、尖锐湿疣667例(8.66%)、生殖道沙眼衣原体感染606例(7.87%)。2014—2018年,性病患者例数总体呈上升趋势,除生殖器疱疹外,其余四类性病患者例数均有逐年增加趋势。5类性病总体分布趋势为门诊患者例数多于住院患者,其中梅毒住院患者占比高于门诊患者,尖锐湿疣、淋病、生殖器疱疹及生殖道沙眼衣原体感染住院患者占比均低于门诊患者,差异具有统计学意义(P<0.05)。女性尖锐湿疣患者占比高于男性,淋病、生殖道沙眼衣原体感染占比低于男性,差异具有统计学意义(P<0.05);男性与女性的梅毒、生殖器疱疹患者占比比较,差异无统计学意义(P>0.05)。5类性病患者年龄主要集中在20~39岁,其次为≥60岁和40~59岁;患者主要来源于皮肤科、妇科、产科、泌尿科。尖锐湿疣患者HPV感染类型以高危型(HPV16、HPV58)和低危型(HPV6、HPV11、HPV42)为主。结论这5类性病患者例数总体呈逐年上升趋势,不同性病流行病学分布不尽相同。Objective To analyze the distribution of sexually transmitted diseases patients in Shaanxi provincial people's hospital,and to explore the current situation and epidemiological characteristics of sexually transmitted diseases in general hospitals,so as to provide new ideas for adjusting the existing prevention and control programs of sexually transmitted diseases.Methods The clinical data of patients with syphilis,pointed condyloma,gonorrhea,herpes genitalis,genital Chlamydia trachomatis infection in a general hospital from January 2014 to December 2018 were retrospectively analyzed.Results A total of 7704 sexually transmitted diseases patients were diagnosed,of which the top three were syphilis in 5942 cases(77.13%),pointed condyloma in 667 cases(8.66%)and genital Chlamydia trachomatis infection in 606 cases(7.87%).From 2014 to 2018,the number of sexually transmitted diseases patients showed an overall upward trend.Except for herpes genitalis,the number of other four types of sexually transmitted diseases patients showed an increasing trend year by year.The overall distribution trend of the five types of sexually transmitted diseases was that the number of outpatients was more than the inpatients,in which the proportion of syphilis inpatients was higher than that of outpatients,the proportion of pointed condyloma,gonorrhea,herpes genitalis and genital Chlamydia trachomatis infection inpatients were lower than those of outpatients,and the differences were statistically significant(P<0.05).The proportion of female patients with pointed condyloma was higher than that of male patients,while the proportion of gonorrhea and genital Chlamydia trachomatis infection were lower than those of male patients,and the differences were statistically significant(P<0.05);there were no significant differences in the proportion of syphilis and herpes genitalis between male and female patients(P>0.05).The age of five types of sexually transmitted diseases patients mainly concentrated in 20-39 years old,followed by≥60 years old and

关 键 词：综合医院 性病 流行特征 

分 类 号：R759[医药卫生—皮肤病学与性病学]