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目的了解临沂市河东区2008~2011年性传播疾病(STD)的发病趋势和流行病学特点。方法通过辖区内网络直报医疗单位报告的STD疫情进行数据报告及分析。结果临沂市河东区2008~2011年性传播疾病主要为梅毒、尖锐湿疣、淋病、生殖器疱疹、生殖道沙眼衣原体,报告累计数为271例,年平均发病率为10.55/10万。梅毒发病率总体成上升趋势,而淋病发病率总体成下降趋势。所报告病例中以尖锐湿疣居多,其次为梅毒、生殖器疱疹和淋病。男女病例数之比为2.01︰1;20~44岁为发病高峰年龄组,共报告225例STD,占报告总数的89.3%(242/271);患病群体以商业服务人群、农民、工人为主,共报告175例STD,占报告总数的64.58%(175/271)。结论河东区2008~2011年性传播疾病以尖锐湿疣和梅毒为主,提示应重点对尖锐湿疣和梅毒进行发病动态监控。并且应加大对高危人群的宣传和干预,加强疫情报告各个环节的管理。
Objective To understand the incidence trends and epidemiological characteristics of sexually transmitted diseases (STD) in Hedong District of Linyi City from 2008 to 2011. Methods Data were reported and analyzed through STD epidemics reported by medical institutions in the area directly. Results In Hedong District of Linyi City, sexually transmitted diseases were mainly syphilis, condyloma acuminatum, gonorrhea, genital herpes and genital tract Chlamydia trachomatis from 2008 to 2011, with a total of 271 cases reported, with an average annual incidence of 10.55 / 100,000. The overall incidence of syphilis is on an upward trend, while the overall incidence of gonorrhea is on a downward trend. The majority of reported cases were genital warts, followed by syphilis, genital herpes and gonorrhea. The ratio of male to female cases was 2.01︰1. The peak age of onset was from 20 to 44 years old. A total of 225 cases of STD were reported, accounting for 89.3% (242/271) of the total reported cases. The affected groups were commercial service people, farmers and workers The main report of 175 cases of STD, accounting for 64.58% (175/271) of the total number of reports. Conclusion Sexually transmitted diseases in Hedong District from 2008 to 2011 mainly include genital warts and syphilis, suggesting that the focus should be on the dynamic monitoring of the incidence of genital warts and syphilis. And publicity and intervention on high-risk groups should be stepped up, and the management of all aspects of the epidemic report should be strengthened.