温州某城乡接合部地区梅毒患者情况分析及思考

Analysis and Thinking on the Situation of Syphilis Patients in the Rural-urban Fringe Zone of Wenzhou

调查温州某城乡接合部地区梅毒患者人口学特征、相关因素及合并其他传染性疾病情况,分析梅毒患者流行病学特征。经济收入、夫妇分居和安全套使用频率是被调查者感染梅毒的主要影响因素。以性接触为主要传播途径,工人为主要患病人群,18岁~38岁为主要年龄段,不合理就诊模式普遍存在。梅毒患者乙型肝炎表面抗原（HBsAg）、抗人类免疫缺陷病毒（HIV）抗体、抗丙型肝炎病毒（HCV）抗体阳性率高于普通人群。城乡接合部地区梅毒感染率高,且患者合并其他传染性疾病阳性率亦高,需引起对该地区疫情的思考和重视,加强伦理决策能力。

This article investigated the demographic characteristics, related factors and other infectious diseases of syphilis patients in rural-urban fringe zone of Wenzhou, and analyzed the prevalence of syphilis. Economic income, couples separation and condom use frequency were considered the main causes of syphilis infection. Sexual contact was the main route of transmission. Workers aged between 18 to 38 years old constituted a main group of patients with syphilis. Meanwhile, inappropriate medical treatments were widely taken. The positive rates of Hepatitis B surface antigen （HBsAg）, anti human immunodeficiency virus （HIV） antibody and anti hepatitis C virus （HCV） antibody in syphilis patients were higher than normal people. The infection rate of syphilis in rural-urban fringe zone, as well as the other infectious diseases, were higher, which called for more attention to the prevention work in this area and the ability of ethical decision making should be strengthened.