深圳市福田区梅毒准确诊断和规范治疗情况分析  

Analysis of accurate diagnosis and standard treatment of 532 cases of syphilis in Futian District,Shenzhen

作　　者：帅俊[1] 许宗严[1] 郑铁洪 邱莉霞[1] 胡瑞娟[1] 马锦济[1] 曾显声[1] SHUAI Jun;XU Zongyan;ZHENG Tiehong;QIU Lixia;HU Ruijuan;MA Jinji;ZENG Xiansheng(Chronic Diseases Control Hospital,Futian District,Shenzhen 518048,Guangdong,China;Chronic Diseases Control Hospital,Langgang District,Shenzhen 518172,Guangdong)

机构地区：[1]深圳市福田区慢性病防治院皮肤科,广东深圳518048 [2]深圳市龙岗区慢性病防治院业务科,广东深圳518172

出　　处：《中国艾滋病性病》2022年第2期211-213,共3页Chinese Journal of Aids & STD

摘　　要：目的了解福田区医疗机构梅毒报告病例的诊断准确性和规范治疗情况,为梅毒疫情监测和防治工作提供依据。方法从中国疾病预防控制信息系统中导出2019年1月1日至2020年12月31日福田区各医疗机构报告的梅毒病例,采用抽样调查方式,对抽取的个案进行现场核对门诊日志、实验室检测结果、药房处方、梅毒随访记录等,按国家梅毒诊断标准和治疗指南,评估报告的病例是否准确诊断和规范治疗。结果抽查532例梅毒病例,准确诊断率为95.30%,其中一期梅毒(85.83%)最低,二期、三期、隐性梅毒准确诊断率差异无统计学意义(P=0.18);规范治疗率为87.41%,其中隐性梅毒(78.88%)最低,一、二、三期梅毒规范治疗率差异无统计学意义(P=0.210);公立医院梅毒准确诊断率和规范治疗率均高于民营医院(P<0.05);皮肤科一期梅毒准确诊断率高于非皮肤科,同时一期梅毒和隐性梅毒规范治疗率也高于非皮肤科(P<0.05)。结论本次调查福田区梅毒正确诊断率和规范治疗率均达国家要求,但不同性质机构、不同科室和不同分期的梅毒规范诊疗水平差异较大,应加强针对性培训和督导,提高梅毒规范诊疗整体水平,保障梅毒防控效果。Objective To analyze the diagnostic accuracy and standardized treatment of reported syphilis cases in medical institutions in Futian District,to provide a basis for control and prevent syphilis epidemic.Methods The syphilis cases reported from medical institutions in Futian District from January 1,2019,to December 31,2020,were exported from China Disease Control and prevention information system.The sampling survey method was used to collect information from the outpatient log,laboratory test results,pharmacy prescriptions,syphilis follow-up records according to the national syphilis diagnosis standards and treatment guidelines to evaluate the accuracy of diagnosis and standard treatment of the reported cases.Results 532 cases of syphilis were randomly selected,and the accurate diagnosis rate was 95.30%.Among them,the first stage syphilis had the lowest proportion,and there was no significant difference in proportion among the second stage syphilis,the third stage syphilis,and latent syphilis(P=0.18);The standard treatment rate was 87.41%,of which recessive syphilis was the lowest.There was no significant difference among the standard treatment rates for stageⅠ,Ⅱ,andⅢsyphilis(P=0.210).The accurate diagnosis rate and standard treatment rate of syphilis in public hospitals were higher than those in private hospitals(P<0.05).The accurate diagnosis rate of the first stage syphilis in the dermatology department was higher than that in the non-dermatology department,and the standardized treatment rate of the first stage syphilis and latent syphilis was also higher than that in the non-dermatology department(P<0.05).Conclusion The accurate diagnosis rate and standard treatment rate of syphilis in the Futian District met the national requirements,but the standard diagnosis and treatment of syphilis varied greatly in different institutions,different departments,and different stages.We should further strengthen training and supervision to reduce repeated reports and to ensure the effectiveness of syphilis prevention

关 键 词：梅毒 诊断 治疗 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]