赤峰市医院2004-2010年梅毒及HIV感染检出情况分析

Analysis on Syphilis and HIV Infection in Chifeng City Hospital from 2004 to 2010

目的探讨综合医院梅毒和HIV感染的流行病学特征。方法对本院2004年1月-2010年12月性病门诊患者和潜在血源传播患者进行检测时发现的梅毒患者和HIV感染者临床资料进行统计分析。结果共检测出梅毒患者528例,HIV阳性者11例,混合感染4例。11例HIV阳性患者中HIV感染者7例,AIDS4例。RPR滴度的差异在显性梅毒与隐形梅毒中具有统计学意义(P<0.05);梅毒患者的检出率在性病门诊组显著高于潜在血源传播患者组(P<0.05),并且两者在年龄分布与临床分期构成上差异均有统计学意义(P均<0.05);192例住院患者分布于骨科、肝胆外科、妇产科等26个科室。结论随着被检测人数的逐渐增多,该院检测出的梅毒患者和HIV感染者不断增多。性病门诊患者与潜在血源传播患者具有不同的梅毒流行病学特征。

Objective To investigate the epidemiologic feature of Syphilis and HIV infection in Chifeng City Hospital. Methods By detecting the STD clinic outpatients and patients with latent bood-transmitted risk from January 2004 to Dec. 2010 in our hospital, the case datas of Syphilis and HIV infection were analyzed. Results The positive number of Syphilis, HIV infection and polyinfection of them were 528, 11 and 4 respectively. There were 7 HIV infection and 4 AIDS among 11 HIV-positive patients. Statistical significance was observed in the titer between symptomatic syphilis and asymptomatic syphilis（ P 〈 0.05 ）. The positive rate of syphilis in STD clinic outpatients was significantly higher than that in patients with latent bood-transmitted risk （ P 〈 0.05 ）. There was significant difference in age distribution and clinical stage between two groups. 192 inpatients were distributed to department of orthopaedics, Hepatobiliary Surgery, gynaecology and obstetrics, and so on. Conclusions The number of Syphilis and HIV infection was rised with the increasing of being detected in our houpital. There were different epidemiologic features of syphilis between STD clinic outpatients and patients with latent bood-transmitted risk.