承德市梅毒和淋病报告疫情变化影响因素调查

Syphilis and gonorrhea epidemic factors affect report in Chengde City

目的调查分析承德市梅毒与淋病报告疫情中梅毒逐年增多、淋病无明显变化的原因,为改进疫情监测和制定防治措施提供依据。方法采用描述性流行病学方法对承德市5家最大的综合医疗机构在2010-2014年间网络直报的梅毒、淋病病例进行统计分析。结果 2010-2014年5年间以隐性梅毒最多。一期、二期和隐性梅毒不同年份在皮肤科发现的病例数差异均有统计学意义（χ2=3 427.45、539.99、1 344.16,P〈0.05）,而在非皮肤科发现的病例数除二期梅毒外差异均有统计学意义（χ2=48.41、1 653.06,P〈0.05;χ2=7.26,P〉0.05）。2010-2014年梅毒检测的阳性率在0.68%-1.40%之间;淋球菌的阳性率最低6.28%,最高达13.79%。结论梅毒、淋病报告病例数的变化与国家和地方的性病、艾滋病相关法规相关联。采取性病资源整合、综合防治,对性病、艾滋病的控制将收到双赢的效果。

Objective To analyze the reason of syphilis and gonorrhea report outbreaks of syphilis increased year by year, gon- orrhea, no obvious change, to Improve disease surveillance and provide a scientific basis for the development of control strate- gies. Methods Statistic analysis descriptive statistical analysis was done on chengde city five largest comprehensive medical in- stitutions between 2010 and 2014 the network straight newspaper of syphilis, gonorrhea cases were analyzed by descriptive epide- miologie method. Results The most syphilis was stealth syphilis during 2010 - 2014. The case of the first, the second and stealth syphilis found in dermatology has statisticallyslgmficant（χ2 = 3 427.45 , 539. 99, 1 344. 16, P 〈 0. 05 ） , meanwhile the case of syphilis found in other departments except he second syphilis has statistically significant too（χ2 =48.41, 1 653.06, P 〈 0. 05 ; χ2 = 7.26, P 〉 0. 05 ）. The positive rate of syphilis was 0. 68% - 1.40% from 2010 to 2014. The lowest positive rate of gonorrhea was 6. 28% , the most was 13.79%. Conclusion The changes of cases of report syphilis and gonorrhea was related with SDT/AIDS＇ laws and regulations. Resources integration and integrated measures has a remarkable effect on controlling the spread of Syphilis and gonorrhea.