2013-2022年重庆市梅毒筛查检测情况分析  

Syphilis screening and testing in Chongqing Municipality from 2013 to 2022

作　　者：林璟 吴国辉[1] 贺亚萍 周超[1] LIN Jing;WU Guohui;HE Yaping;ZHOU Chao(Chongqing Center for Disease Prevention and Control,Chongqing 400042,China)

机构地区：[1]重庆市疾病预防控制中心,重庆400042

出　　处：《中国艾滋病性病》2023年第12期1352-1355,共4页Chinese Journal of Aids & STD

基　　金：重庆市首批公共卫生重点专科(学科)建设项目。

摘　　要：目的分析重庆市2013-2022年梅毒筛查检测发现患者的情况,为指导梅毒筛查工作提供依据。方法2013-2022年重庆市梅毒筛查数据来源于全国性病防治管理信息系统。采用SPSS 23.0软件进行描述性统计分析,率的比较采用χ2检验,采用Joinpoint回归模型对梅毒筛查结果进行趋势分析。结果2013-2022年重庆市梅毒筛查数由2013年的352436人次增长到2022年的2671333人次,梅毒筛查双阳数由2013年的4028人次增长到2022年的21962人次,平均年度变化百分比(AAPC)分别为22.24%和18.35%,变化趋势有统计学意义(P<0.05);梅毒筛查双阳率从2013年的1.14%下降至2022年的0.82%,以年均3.17%的速度下降,变化趋势有统计学意义(P<0.05)。不同样本来源中术前筛查、住院筛查、孕妇筛查和性病门诊就诊者筛查量最大,占筛查总量的84.84%,其中性病患者和性病门诊就诊者梅毒筛查双阳率较高,分别为7.29%和3.27%。不同样本来源中孕妇、住院筛查、健康体检者人群梅毒抗体双阳率呈下降趋势(P<0.05)。结论重庆市梅毒筛查数量逐年增高,对梅毒患者的及时发现起到了极为重要的作用。性病门诊就诊者是发现梅毒患者的主要来源,需进一步加强性病门诊的管理,同时规范其他样本来源的数据收集和上报,提高梅毒筛查效率。Objective To analyze the situation of patients who confirmed by syphilis screening and testing in Chongqing from 2013 to 2022,and to provide a basis for the instruction of syphilis screening.Methods The syphilis screening data of Chongqing from 2013 to 2022 were downloaded from the National Sexually Transmitted Diseases(STD)Management Information System.SPSS 23.0 software was utilized to conduct descriptive statistical analysis.The Chisquare test was used to compare the positive rates of syphilis screenings between various specimen sources.The Joinpoint regression model was applied to perform trend analysis of syphilis screening results.Results From 2013 to 2022,the number of syphilis screenings in Chongqing increased from 352436 person-time in 2013 to 2671333 person-time in 2022.The number of syphilis screenings with dual positivity of syphilis sero-specific antibodies and non-specific antibodies increased from 4028 person-time in 2013 to 21962 person-time in 2022,with an average annual percentage change(AAPC)of 22.24%and 18.35%,respectively.Both trends were statistically significant(P<0.05).The dual positive rates of syphilis screening showed a statistically significant decrease from 1.14%in 2013 to 0.82%in 2022,with an average annual decline rate of 3.17%(P<0.05).Among various specimen sources,the largest screening volume of syphilis screenings came from pre-operation,inpatient,pregnant woman,and STD outpatient,accounting for 84.84%of the total screenings.Among them,STD patients and STD outpatients had higher dual positive rates of syphilis screening,with 7.29%and 3.27%,respectively.The dual positive rates of syphilis antibodies in pregnant women,inpatient screeners,and individuals undergoing health examinations showed a downward trend(P<0.05).Conclusions The number of syphilis screenings in Chongqing has consistently increased,significantly facilitating the timely identification of individuals infected with syphilis.STD outpatients represent the primary source of syphilis diagnosed syphilis case.It is necessa

关 键 词：梅毒筛查 检测 性病 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]