满洲里口岸出入境人员梅毒监测结果分析

The Analysis of the Result of Syphilis Surveillance among Entry-exit Persons at Manzhouli Port

目的了解梅毒在满洲里口岸出入境人员及口岸从业人员中的感染情况，为口岸传染病监测和预防工作提供有效的技术支持和依据。方法采用酶联免疫吸附试验（ELISA）方法进行初筛，使用梅毒螺旋体颗粒凝集试验（TPPA）对阳性者进行确认，同时使用TRUST或RPR法进行滴度测定。结果3636名出入境人员及口岸从业人员中，检出梅毒抗体阳性46例，阳性率1．27％，其中男性35例，女性11例，男女之间梅毒感染率无统计学差异（X^2=0．32，P〉0．05）。梅毒感染者主要分布在31～50岁年龄段，占总感染人数的78．26％。梅毒感染者的人群分布表明劳务人员所占比例最高，占总感染人数的69．57％，其次为商务人员，占总感染人数的21．74％。结论应加强对口岸出入境人员及口岸从业人员性病防治知识的宣传教育，以达到从源头上控制梅毒的传播和流行。

Objective Through analyzing the result of syphilis surveillance among entry-exit persons at Manzhouli port, understand infectious status of syphilis among entry-exit persons and the people worked at port. Method Prescreened by ELISA, then applied TPPA to certain the positive cases, and carried out TRUST or RPR for Titer at the same time. Result 46 cases of positive was found in 3 636 entry-exit persons, including 35 males and 11 females. Positive rate was 1.27%. There was no statistical difference between male and female（ X^2=0.32, P〉0.05）. The number of the group of 31-50 years old was main infected population, accounted for 78.26%. And 69.57% were abroad labors. Then was businessman, accounted 21.74%. Conclusion In order to control the transmission and prevail of syphilis, it is necessary to strengthen education of prevention and treatment knowledge of venereal diseases among entry-exit persons and the people worked at port