缙云县2010-2014年梅毒疫情流行趋势分析

Analysis of syphilis epidemic trend in Jinyun County, 2010-2014

目的了解缙云县梅毒发病趋势和流行特点,为制定有效防治措施提供参考依据。方法根据缙云县2010-2014年上报中国疾病预防控制信息系统的梅毒病例资料进行流行病学分析。结果 2010-2014年缙云县共报告梅毒病例1 196例,年平均报告发病率为52.21/10万。梅毒发病率由2010年的73.76/10万下降至2014年的37.22/10万,年均递减15.47%。五年间发病率差异有统计学意义（χ^2=67.20,P=0.000）。梅毒分型以隐性梅毒、Ⅰ期梅毒、Ⅱ期梅毒为主。男性梅毒发病率为42.51/10万,女性的发病率为62.58/10万,男女之间的发病率差异有统计学意义（χ^2=8.78,P=0.003）。病例主要集中在20~49岁年龄组,占病例总数的60.62%。职业中农民占总数的76.84%。结论缙云县梅毒疫情虽有所下降,但年发病率还处于高位,要针对流行特征,重点做好高危人群的防治干预工作,控制梅毒的传播扩散。

Objective To know syphilis trends and popular features in Jinyun county and provide reference for the development of effective control measures. Methods Epidemiological data analysis of syphilis cases in Jinyun county during 2010-2014 were analyzed through China Disease Prevention and Control Information System. Results 1196 syphilis cases were reported during 2010-2014 in Jinyun county, the average annual reported incidence rate was 52.21/100,000.Incidence of syphilis from 73.76/100,000 in 2010 dropped to 2014 per 37.22/100,000, average annual declined 15.47%.The incidence of the difference between five years was statistically significant（ χ~2=67.20, P=0.000）. Syphilis parting with latent syphilis, Ⅰ syphilis, Ⅱ syphilis based. Male syphilis incidence rate was 42.51/100,000, The incidence of female was62.58/100,000, the difference of incidence between men and women was statistically significant（ χ~2= 8.78, P=0.003）. Cases were mainly concentrated in the aged 20 to 49 group, accounted for 60.62%. Occupation farmers accounted for 76.84%Conclusion Syphilis epidemic in Jinyun county has decline, but the annual incidence is still at a high level, it is necessary to focuse on prevention and treatment interventions to high-risk groups and control the spread of syphilis spread.