住院患者潜伏梅毒的调查分析

Investigation and analysis of latent syphilis among inpatients

目的探讨综合医院住院患者中潜伏梅毒的感染情况。方法对本院2005年10月至2009年9月间249例潜伏梅毒患者的临床资料进行回顾性分析。结果249例潜伏梅毒患者在性别上不存在差异,>20岁的各年龄段均有病例,>60岁的占有较高比例(35.74%);潜伏梅毒患者病例数逐年增多,主要分布于骨科、普外科、妇产科等16个科室,骨科为潜伏梅毒的高发科室。潜伏梅毒患者血清TRUST滴度较低,1∶4以下占62.65%。结论潜伏梅毒好发年龄较宽,在老年人中占有较高的比例。潜伏梅毒患者病例数逐年增多,在住院患者中分布较广,有一定的流行病学特征。常规对住院病人进行梅毒筛查试验是及早发现梅毒并防止其传播的有效措施之一。

Objective To investigate infection status of latent syphilis among inpatients in general hospital.Methods The clinical data of 249 cases of latent syphilis during October 2005 to September 2009 in our hospital were retrospectively analyzed. Results There was no significant difference in the gender distribution of 249 cases of latent syphilis.Latent syphilis was observed in every stratum of people aged more than 20 years old,while patient aged more than 60 years old were accounted for high than normal stake of latent syphilis（35.74%）.The patients of latent syphilis trend went up in recent years.Latent syphilis might occur in departments of orthopedics,general surgery,gynecology,etc,and department of orthopedics was the most likely place of latent syphilis infection.The titer of latent syphilis TRUST was relatively lower and 62.65% were in ratio of 1∶4. Conclusions The distribution of age stratum for latent syphilis infection is wide,and latent syphilis infection is observed in elderly populations.The patients of latent syphilis trend go up in recent years.Cases of latent syphilis are widespread in hospitalized patients with epidemiological characteristics.Routine syphilis screening of inpatients by using early detection test is one of the effective measures to prevent the spread of syphilis.