2005-2019年荆州市梅毒流行特征分析  

Analysis on the epidemic characteristics of syphilis in Jingzhou City from 2005 to 2019

作　　者：蔺茂文 刘锐[1] 孙春[1] 张凡 LIN Mao-wen;LIU Rui;SUN Chun(Jingzhou Municipal Center for Disease Control and Prevention,Jingzhou 434000,China)

机构地区：[1]荆州市疾病预防控制中心,434000

出　　处：《实用皮肤病学杂志》2021年第6期335-338,共4页Journal of Practical Dermatology

摘　　要：目的 分析荆州市梅毒流行特征,为进一步落实《中国预防与控制梅毒规划(2010-2020年)》[以下简称《中国预防与控制梅毒规划》],降低梅毒的传播提供依据。方法 收集荆州市2005-2019年梅毒患者的临床资料,并对其进行描述性分析。结果 2005-2019年荆州市共计报告梅毒21 839例,年均发病率为25.33/10万,其中一期、二期、隐性梅毒年均发病率分别为5.00/10万、3.36/10万、16.49/10万。2005-2019年总体发病率呈上升趋势,其中2018年为发病最高峰(37.75/10万),2005-2016年荆州市总体发病率呈上升趋势(χ^(2)=13.510,P <0.001),2016-2019年逐步趋于平稳。2005-2012年一、二期梅毒发病率呈上升趋势(χ^(2)=6.959,P <0.01),年均增长率为29.20%,2012-2019年一、二期梅毒发病率呈下降趋势(χ^(2)=6.484,P <0.05)。2005-2019年隐性梅毒发病率呈上升趋势(χ^(2)=13.51,P <0.001),年均增长率为40.48%。50岁以上人群发病率、男性发病率总体呈上升趋势。隐性梅毒为主(64.74%)、本地户籍(88.14%)为主、20~69岁为主(88.80%)、男女性别比0.75:1。结论 荆州市梅毒防控工作取得一定成效,今后应加大对重点人群(50岁以上男性、中青年女性)宣传干预力度,提倡安全性行为,控制梅毒的蔓延和传播。Objective Through analyzing the epidemiological characteristics of syphilis in Jingzhou City, to provide a basis for further implementation of “China Syphilis Prevention and Control Plan(2010 to 2020) ” and reducing the spread of syphilis. Methods Data of syphilis cases from 2005 to 2019 in Jingzhou were collected and analyzed. Results A total of 21 839 cases of syphilis were reported from 2005 to 2019 in Jingzhou, the average annual incidence rate was 25.33/100 000 and the average annual incidence rate of primary, secondary and latent syphilis were 5.00/100 000, 3.36/100 000 and 16.49/100 000 respectively. The overall incidence rate was on the rise from 2005 to 2019, with the highest incidence rate in 2018(37.75/100 000). The overall incidence rate of Jingzhou increased from 2005 to 2016(χ^(2)=13.510,P<0.001), and gradually stabilized from 2016 to 2019. The incidence rate of primary and secondary(P&S) syphilis increased from 2005 to 2012(χ^(2)=6.959, P<0.01), with an average annual growth rate of 29.20%, and decreased from 2012 to 2019(χ^(2)=6.484, P<0.05). The incidence rate of latent syphilis from 2005 to 2019 showed an upward trend(χ^(2)=13.51, P<0.001), with an average annual growth rate of 40.48%.The incidence rate of the disease in the population over 50 years old and the incidence rate in the male population were on the rise(both statistically significant). Latent syphilis(64.74%), local patients(88.14%), and the age ranged from 20 to 69(88.80%) were in the majority,and the sex ratio of male to female was 0.75:1. Conclusions Some achievements have been made in syphilis prevention and control in Jingzhou City, in the future, further efforts should be made in increasing publicity and intervention for the key groups(men over 50, young and middle-aged women), promoting safe sexual behavior, so as to better control the spread of syphilis.

关 键 词：梅毒 发病率 流行特征 荆州市 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]