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目的了解通辽地区梅毒在不同人群中的分布特征和流行趋势,找出防治工作中的薄弱环节,为制定有效的防治对策提供依据。方法分析1996-2007年梅毒的疫情分布情况。结果自1996年开始梅毒在通辽地区的发病率呈逐年上升的趋势,1999年达到4.85/10万,较1996年的0.14/10万上升了34.6倍;2000年开始梅毒的发病率呈逐年下降的趋势,2005年降至0.17/10万;2006年起又有上升的趋势。1996-2001年,男性的发病率高于女性,2002年后为女性发病率高于男性(除2005年外)。1996-2005年,梅毒病例以Ⅰ期和Ⅱ期为主,Ⅰ期梅毒发病构成大于Ⅱ期;2006-2007年以隐性梅毒为主。Ⅰ期和Ⅱ期在30岁～组最高,分别为43.18%和41.55%,20岁～组次之,分别为33.15%和34.10%;隐性梅毒以30岁～组最高(35.48%),40岁～组次之(29.03%)。胎传梅毒均在10岁以下。职业居前三位的:Ⅰ期和Ⅱ期梅毒分别为个体、无业、工人,隐性梅毒为无业、农民、个体,在学生中存在隐性梅毒。结论加强人群的健康教育和性病防治知识宣教,加强重点人群监测及规范诊治综合措施,开展对重点人群的检测,做到早期诊断、早期治疗,对控制梅毒的传播、降低发病有重要意义。
Objective To understand the distribution characteristics and trends of syphilis in different populations in Tongliao area and to find out the weak links in prevention and treatment so as to provide the basis for making effective prevention and control measures. Methods The distribution of syphilis in 1996-2007 was analyzed. Results The incidence of syphilis in Tongliao area began to increase year by year since 1996, reaching 4.85 / 100,000 in 1999, an increase of 34.6 times compared with 0.14 / 100,000 in 1996; the incidence of syphilis decreased from 2000 onwards Trend in 2005 to 0.17 / 10 million; in 2006 there is an upward trend. In 1996-2001, the incidence of males was higher than that of females. After 2002, the incidence of females was higher than that of males (except in 2005). From 1996 to 2005, the syphilis cases were mainly stage I and stage II, the incidence of stage I syphilis was greater than stage II, and the predominant syphilis was from 2006 to 2007. The first and second stages were the highest in the 30-year-old group with 43.18% and 41.55%, respectively, followed by the 20-year-old group with 33.15% and 34.10% respectively. The latent syphilis was highest in the 30-year-old group with 35.48% Age group followed (29.03%). Congenital syphilis are under 10 years of age. The top three occupations: Ⅰ and Ⅱ syphilis were individually, unemployed, workers, hidden syphilis unemployed, farmers, individuals, there are hidden in students syphilis. Conclusion It is of great importance to control the spread of syphilis and reduce the incidence of syphilis by strengthening the education of population health and education on STD prevention and treatment, strengthening the monitoring of key populations and standardizing diagnosis and treatment, and carrying out the detection of key populations so that early diagnosis and early treatment can be achieved.