大理市2009-2013年梅毒流行特征分析

Analysis of syphilis epidemiological characteristic in Dali City from 2009 to 2013

目的了解大理市2009-2013年梅毒流行特点和发病趋势,并提出有针对性的预防控制措施。方法采用描述性流行病学方法对2009-2013年大理市梅毒报告病例进行统计、分析。结果 2009-2013年大理市累计报告梅毒病例296例,年均发病率为9.69/10万,报告病例数居我市监测的5种性病的第二位。发病年龄集中在20～49岁性活跃人群和60～79岁老年人;报告病例中男女性别比为0.9：1,其中50～79岁年龄段,男性病例多于女性,男女性别比为1.64：1。全市11个乡镇及1个开发区除双廊镇外,均有病例报告,下关镇报告人数居首,占总报告病例的55.41%。职业以农民为主,占总报告病例的35.47%。报告病例分型以隐性梅毒为主,占总报告病例的89.53%。传播途径以非婚性接触传染为主,占总报告病例的51.02%;胎传梅毒报告7例,占总报告病例的2.36%。结论梅毒发病率逐年增加,流行特征与艾滋病一致,需结合艾滋病防控工作,加强对农民的行为干预,强化老年人防制工作,加强规范化性病门诊建设是我市下一步防控工作的重点。

Objective To get the epidemiological characteristics and incidenced trend of syphilis of Dali from 2009-2013, and propose the target preventive and control measures. Methods Using descriptive epidemiological method to data statistics and analysis of reported cases of syphilis from 2009 to 2013 in Dali. Results It has reported 296 cases of syphilis and the average incidence rate is 9.69/100 000 in Dali. The data showed the syphilis is in second place in the 5 kinds of sexually transmitted diseases are monitoring. The onset of syphilis lie in the 20～49 age group of sexually active and 60～79 age of old people. The male to female ratio was 0.9：1 in the reported cases, and the data showed the reported cases foe male was higher than that for female which the ratio was 1.64：1 from 50～79 age. Both 11 towns and 1 development zone had the case of syphilis in Dali, and the reported cases of Xiaguan town was in the first place, it accounts for 55.41% of total reported cases. The occupation of the reported cases was mainly farmer, it accounts for 35.47% of total reported cases. The classification of reported cases was mainly recessive syphilis, it accounts for 89.53% of total reported cases. The route of transmission was mainly extramarital infection, it accounts for 51.02% of total reported cases. It has reported 7 cases of congenital syphilis, it accounts for 2.36% of total reported cases. Conclusion Syphilis incidence increased year by year, the epdimic characteristic is the same as AIDS. The next step of prevention and control work in our city should be focus on combine with AIDS of prevention and control, reinforce behavior intervention among the farmers, strengthen the prevention and control for the old people and the standardized STD clinic construction.