临床常见性病及其流行病学研究

Clinical common sexually transmitted disease and analysis

目的了解本地区常见的性病类型及其临床流行病学,分析当前性病诊疗中存在的问题。方法对2005～2007年本院性病感染人数居前三位的梅毒(TP)、淋病(NG)、沙眼衣原体(CT)感染者的临床诊疗资料进行统计分析。结果TP、NG、CT感染男女比例分别为1:1.4、3.2:1、1:6.3;20～35岁是性病高发年龄段占69.7%;性病人群中82.4%分布于待业、服务业、个体业、工人及农民,78.9%为流动人口,68.3%初中以下学历,62.7%未婚,78.5%为非婚性接触传播;部分女性感染者临床症状隐匿,约有30%处于隐性感染状态。结论隐性感染比例增大是TP感染率快速上升的主要因素;NG、CT感染男女性比例严重偏奇与其漏诊或漏检有关;性病传播主要是以婚外性接触传播为主;文化程度低、工作性质不稳定的青年外来流动人口是性病的高危人群。国家应加强对弱势群体和性病高危人群进行性病普查、宣传教育及防治工作。

Objective To understand the common sexually transmitted disease （STD） type of the district and preavalent features of STD. Methods The data of Treponemiasis （TP）,gonorrhea（NG）and Chlamydia trachomatis （CT） cases the top three of STD patients of the hospital during 2005 ~2007 were collected and analyzed. Results The male and female ratios of patients infected by TP,NG and CT respectively were l：1.4,3.2：1 and 1：6.3; the high risk group of STD those in aged 20~35 years （69.7%）, 82.4% of STD patients were jobless and workers of service industry,private enterprise workers,farmers,etc. There 78.9% were mobile populations,68.3% of them had an educational background of under middle school,62.7% wre singles,78.5% were due to extra-marital sexual contact. About 30% were latent infections. Conclusions The increased rate of subclinical infection is the main cause of increase of TP infection . Mobile population, the jobless and those with low educational backgroud are the risk group of STD.