1997-2007年广西壮族自治区梅毒流行病学回顾性分析

Retrospective epidemiological analysis of syphilis in Guangxi from 1997 to 2007

目的分析广西壮族自治区(广西)11年来(1997-2007年)梅毒流行病学特征,探讨影响梅毒流行的诸多因素。方法对1997-2007年梅毒流行病学资料进行回顾性分析。结果1997-2007年广西共报告梅毒病例92179例,年平均报告发病率为17.80/10万,1997年报告发病率最低为2.88/10万,2007年最高为48.20/10万;梅毒病例Ⅰ期42827例,占46.46%,Ⅱ期23481例,占25.47%,Ⅲ期364例,占0.39%;胎传梅毒3747例,占4.07%;隐性梅毒21760例,占23.61%。发病年龄以20～39岁年龄组居多,占62.54%。结论广西是梅毒和艾滋病的高发地区,梅毒发病女性略高于男性,低年龄组女性病例远高于男性病例,梅毒已由城市向农村扩散。

Objective The study was conducted to analyze the epidemiological characteristics of syphilis in Guangxi from 1997 to 2007 and to determine the influential factors of the endemic of syphilis. Methods Retrospective analysis was performed based on the epidemiological data of syphilis from 1997-2007. Results A total of 92 179 syphilis cases were reported in Guangxi from 1997 to 2007, the average annual reported incidence being 17.80/lakh. The lowest reported incidence was 2.88/1 lakh in 1997, the highest 48.20/lakh in 2007. There were 42 827 cases at stage Ⅰ , accounting for 46.46%; 23 481 cases at stage Ⅱ , accounting for 25.47%; and 364 at stage m, accounting for 0.39%; besides were 3747 congenital syphilis cases, accounting for 4.07% and 21 760 latent syphilis cases, accounting for 23.61%. 62.54% of the affected patients were aged between 20 and 39 years. Conclusion Guangxi has been a syphilis and AIDS prevailing area. The incidence of syphilis was slightly higher in women than in men with significantly greater number of low-aged female patients. Syphilis cases has been infiltrating from urban areas to rural ones.