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目的通过对出入境体检人员梅毒感染情况进行检测分析,掌握本地区发病情况和流行特点,做好疾病的预防控制工作。方法实验室检测采用甲苯胺红不加热血清实验(TRUST)筛查,阳性者进行复检,测定血清滴度,并用 TPHA 方法确证。检出者将进行临床体征检查和流行病学调查。结果从7 376名被检人员中检出梅毒感染者28例,检出率为0.38%,其中男性为0.19%,女性为0.65%,差异非常显著(P<0.005)。30岁年龄组梅毒感染者检出率最高为0.73%,50岁年龄组为0.46%,20岁年龄组为0.35%,40岁年龄组为0.15%。出国群体中以旅游检出率最高为0.98%,公务商务为0.50%,劳务为0.29%。梅毒感染者中初中以下文化程度者占总检出率的82.14%,高中程度者为17.86%,差异非常显著(P<0.0001)。大部分感染者为隐性梅毒感染(89.29%),无临床体征者为64.39%。同期检出入境外籍人员梅毒感染者3人,检出率7.50%(3/40),明显高于国内出境人群。结论加强卫生防病和性病防治知识的宣传教育,提高大众文化素质和法律道德水平;加强对出国群体中30岁年龄组特别是女性组的监测。
Objective To detect and analyze syphilis infection in entry-exit medical personnel and master the incidence and epidemic characteristics in this area so as to prevent and control the disease. Methods The laboratory test was conducted with TRUST screening, and the positive persons were retested. The serum titer was measured and confirmed by TPHA method. Detectors will undergo clinical signs and epidemiological investigations. Results Totally 28 cases of syphilis were detected in 7 376 subjects, the detection rate was 0.38%, of which 0.19% for males and 0.65% for females, the difference was significant (P <0.005). The highest detection rate of syphilis in the 30-year-old group was 0.73%, 0.46% in the 50-year-old group, 0.35% in the 20-year-old group and 0.15% in the 40-year-old group. Outbound tourism groups to the highest detection rate of 0.98%, business and business 0.50%, 0.29% labor. Syphilis infected persons with junior high school education accounted for 82.14% of the total detection rate, high school degree was 17.86%, the difference was significant (P <0.0001). The majority of infected persons were latent syphilis (89.29%), while those without clinical signs were 64.39%. During the same period, 3 people with syphilis who were admitted to foreign countries were detected, the detection rate was 7.50% (3/40), which was significantly higher than that of the domestic outbound population. Conclusion The publicity and education on health, disease prevention and control of STDs should be strengthened so as to enhance the quality of public culture and legal ethics. The monitoring on the 30-year-olds, especially women, should be strengthened.