长春地区梅毒2735例流行状况回顾

Retvospective Epidemical Review on 2735 Cases Syphilis in Changchun Area

目的分析近年来梅毒的发病趋势和特征,为梅毒的预防和治疗提供依据。方法用Excel2003进行处理和分析对1994～2007年性病门诊梅毒患者的病史、体格检查和实验室检查数据。结果首诊2735例梅毒患者,1994～1996年呈散发状态,1996～1999年则迅速增长,1999～2002年呈快速下降趋势,2002～2005年呈低速下降,2005～2007年开始少量回升,以一、二期梅毒为主,以20～29岁和30～39岁年龄组为主,职业分布以无业和个体为主,文化程度以中学者居多。所有患者均给予规范化驱梅治疗,并随访观察2年。结论经历了快速上升及下降后,梅毒的发病正处于缓慢回升趋势,胎传梅毒的上升及梅毒伴HIV的发生应引起足够的重视和加强防范。

Objective To presenting a retrospective case-note review of patients diagnosed and hospitalized with syphilis between 1994 and 2007 performed at the clinic of the Fist Hospital of Jilin University in Changchun Jilin province. To analyse the trend of syphilis in Changchun in recent years, to provide evidence for preventing and treating syphilis. Methods We got information by asking history, doing medical and laboratory examination on each patient, using Excell 2003 to deal with the data. Resuits From 1 994 to 2 007 ,we got 2 735 patients, from 1 994 to 1 996 the syphilis was sporadic, 1 996 - 1 999 the number increased rapidly,1 999 -2 002 it began decreasing rapidly ,2 002 - 2 005 it decreased slowly,200 5 -2 007 it increased slowly. The main age of the patients was 20 -29 and 30 -39 years old,jobless and peddlers, high school student. All the patients were treated regularly. Conclusion After ascending quickly and declining, the incidence of syphilis is raising slowly recently. The congenital syphilis and the ones with HIV should be concerned and prevented.