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目的探讨郴州地区现阶段梅毒流行病学特点,为制定梅毒防治策略提供一定的理论依据。方法对郴州市第三人民医院2012年12月24日—2014年11月30日报告的212例梅毒患者的流行病学资料进行分析。采用Excel2003进行统计描述。结果 212例梅毒感染者中以皮肤科103例(48.58%)为主,其次为妇科29例(13.68%)。一期梅毒95例(44.81%);二期梅毒33例(15.57%);三期梅毒4例(1.87%);潜伏梅毒77例(36.32%);胎传梅毒3例(1.42%)。年龄段以21~30岁年龄组为主(78例,36.79%),其中男36例(46.15%),女42例(53.85%),性别比为0.86∶1;其次是31~40岁年龄组(62例,29.25%),其中男29例(46.77%),女33例(53.23%),性别比为0.88∶1。职业以自由职业(87例,41.04%)为主,其次为农民36例(16.98%)、工人26例(12.26%)。居住地以市区城镇为主(107例,50.47%),郊区22例(10.38%),县区城镇67例(31.6%),农村16例(7.55%)。212例梅毒感染者中,合并感染其他性病者87例(41.04%),其中男40例(45.98%),女47例(54.02%);女性最常见的合并感染为溶脲脲原体感染(17例,36.17%);男性为生殖器疱疹(14例,35.00%)。合并2种性病者16例(18.39%),3种性病及以上5例(5.75%)。结论梅毒防治刻不容缓,中青年的自由职业者是重点的防治对象,胎传梅毒、学生感染者、老年人感染者以及合并其他性病感染的问题不容忽视。
Objective To explore the epidemiological characteristics of syphilis at the present stage in Chenzhou and to provide some theoretical basis for the development of syphilis prevention and control strategies. Methods The epidemiological data of 212 cases of syphilis reported by the Third People’s Hospital of Chenzhou from December 24, 2012 to November 30, 2014 were analyzed. Using Excel2003 statistical description. Results Among the 212 cases of syphilis, 103 were dermatologists (48.58%), and 29 were gynecologists (13.68%). 95 cases of primary syphilis (44.81%), 33 cases of secondary syphilis (15.57%), 4 cases of tertiary syphilis (1.87%), 77 latent syphilis (36.32%) and 3 fetal syphilis (1.42%). There were 36 males (46.15%) and 42 females (53.85%) with a sex ratio of 0.86:1, followed by those aged 31-40 years (62 cases, 29.25%), including 29 males (46.77%) and 33 females (53.23%), the sex ratio was 0.88:1. Occupation was dominated by freelance work (87 cases, 41.04%), followed by 36 cases (16.98%) of farmers and 26 cases (12.26%) of workers. The places of residence are mainly urban in urban areas (107 cases, 50.47%), 22 cases (10.38%) in rural areas, 67 cases (31.6%) in urban counties and 16 cases (7.55%) in rural areas. Of the 212 cases of syphilis infected, 87 (41.04%) were infected with other venereal diseases, of which 40 (45.98%) were male and 47 (54.02%) were female. The most common combined infection in women was Ureaplasma urealyticum infection 17 cases, 36.17%); men were genital herpes (14 cases, 35.00%). 16 cases (18.39%) were combined with 2 kinds of venereal diseases, 3 kinds of sexually transmitted diseases and 5 cases (5.75%) were above. Conclusion Prevention and treatment of syphilis is urgent. Middle-aged and young free-lancers are the key prevention and treatment targets. The problems of fetal syphilis, student infection, elderly infection and other STD infections can not be ignored.