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目的分析沈阳市东陵区近年来梅毒发病水平和流行特征,探讨控制对策,为制定梅毒防制规划提供科学依据。方法利用描述流行病学方法对沈阳市东陵区2006—2010年梅毒疫情报告资料进行分析。结果 2006—2010年沈阳市东陵区年均报告发病率为29.46/10万,报告发病率总体呈逐年上升趋势(2010年除外),各年度发病率差异有统计学意义(P<0.01);以隐性梅毒和Ⅱ期梅毒为主,占总报告发病数的76.16%;无明显季节高峰;男女性别比为1.07∶1,男性年均报告发病率为30.08/10万,女性年均报告发病率为28.83/10万,男女梅毒年均报告发病率差异无统计学意义(P>0.05)。发病年龄以20～59岁的青壮年为主,占82.07%;职业分布家务及待业、不详、农民、其他职业报告发病数占全部报告发病数的85.02%。结论加强卫生宣传和健康教育,提高人群防范意识水平,加强高危人群管理,做好梅毒筛查和检测;规范梅毒诊治,提高诊断准确率和报告及时率;实施综合干预,最大限度地降低梅毒传播的危险因素。
Objective To analyze the prevalence and prevalence of syphilis in Dongling District of Shenyang City in recent years and to explore control strategies to provide a scientific basis for the development of syphilis prevention and control plan. Methods Descriptive epidemiological methods were used to analyze the data of syphilis epidemic in Dongling District of Shenyang from 2006 to 2010. Results The average annual incidence of the reported cases in Dongling District was 29.46 / lakh from 2006 to 2010, and the reported incidence increased year by year (except in 2010). The annual incidence rates were significantly different (P <0.01). With latent syphilis and secondary syphilis, accounting for 76.16% of the total number of reported cases; no obvious seasonal peak; the sex ratio of men and women was 1.07:1; the average annual reported rate of men was 30.08 / 100000; Rate of 28.83 / 100000, male and female syphilis annual average reported incidence of no significant difference (P> 0.05). The age of onset was mainly young adults aged 20-59 years, accounting for 82.07%. Occupational distribution Domestic and unemployed, unknown, peasants and other occupational diseases accounted for 85.02% of the total reported incidence. Conclusions Strengthen publicity and health education on health promotion, raise the awareness level of prevention and control among the population, strengthen the management of high-risk population, do a good job in screening and testing of syphilis, standardize the diagnosis and treatment of syphilis, improve the diagnostic accuracy rate and timely report rate, and implement comprehensive intervention to minimize the spread of syphilis Risk factors.