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目的掌握沈阳市梅毒发病强度和流行趋势,为制定梅毒防制规划提供准确依据。方法利用描述性流行病学方法分析该市梅毒相关疫情数据。结果 2004—2009年沈阳市梅毒年均发病率为21.23/10万,各年度发病率差异有统计学意义(P<0.01);季节高峰不明显;男女性别比为1.07∶1,男女梅毒发病率差异有统计学意义(P<0.05);家务及待业、不详、其他3项职业报告梅毒病例数分别占报告病例数的32.96%、21.66%、15.15%,职业高峰明显;20～49岁年龄组占67.31%,呈典型的青壮年高发趋势。结论应加强卫生宣传和健康教育,提高人群防范意识和防范水平;实施综合干预措施,最大限度地降低梅毒传播的危险因素;加强监测,及时掌握梅毒的流行趋势;加强对医疗机构的监管力度,有效控制医源性感染,规范诊治梅毒病例,防止疫情漏报和误报。
Objective To grasp the incidence and prevalence of syphilis in Shenyang and provide an accurate basis for the development of syphilis prevention and control plan. Methods Descriptive epidemiological methods were used to analyze the syphilis epidemic data in the city. Results The annual average incidence of syphilis in Shenyang was 21.23 / 100 000 between 2004 and 2009, with significant difference in annual incidence (P <0.01). The peak season was not obvious. The male-female sex ratio was 1.07:1. The incidence of syphilis in both sexes The difference was statistically significant (P <0.05); household and unemployed, unknown, the other three occupational reports of syphilis cases accounted for 32.96%, 21.66%, 15.15% of the number of reported cases, the peak occupation; 20 to 49 age group Accounting for 67.31%, a typical trend of high incidence of young adults. Conclusions Health promotion and health education should be strengthened to raise the awareness and prevention level among the population. Comprehensive intervention measures should be taken to minimize the risk factors for transmission of syphilis. Monitoring should be strengthened to keep abreast of the prevalence of syphilis. Strengthen the supervision of medical institutions, Effective control of iatrogenic infections, standardized diagnosis and treatment of syphilis cases, to prevent the omission and false positives.