沈阳市东陵区2006—2010年梅毒流行特征

Epidemic characteristics of syphilis in Dongling District of Shenyang City from 2006-2010

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 incidence and epidemic levels of syphilis in Dongling District of Shenyang City in recent years,to explore its control measures,and provide scientific evidence for syphilis control. [Methods]The descriptive epidemiology was used to analyze the reported data about syphilis in Dongling District from 2006-2010. [Results]The annul incidence rate of syphilis was 29.46/100 000 from 2006 to 2010 in Dongling district of Shenyang,which showed an overall increasing trend（not including the data of 2010）,and there was a significant difference of incidence rate between years（P0.01）;Latent syphilis and phase II syphilis were the major,accounted for 76.16%,without significant seasonal peak;The ratio of male and female was 1.07∶1,and the incidence rate was 30.08/100 000 in male,and 28.83/100 000 in female,without significant difference between genders（P0.05）;The young adult aged 20-59 years were sensitive to syphilis,accounted for 82.07 %.The patients unemployed,with housework,unknown occupation and farming occupied 85.02% of total cases. [Conclusion]It is necessary to strengthen sanitation propagandizing and health education,to increase people＇s preventive consciousness,to supervise the high-risk population of syphilis,to do well in screening and testing of syphilis,to standardize diagnosis and treatment of syphilis,to improve the accurate rate and promptness rate of diagnosis and report,and to carry on integrated intervention in order to minimize the high-risk factors of syphilis spread.