自贡市梅毒病例报告及治疗情况分析

Investigation of Syphilis Report and Treatment in Zigong City

目的了解自贡市梅毒报告及治疗情况,为制定自贡市梅毒防控策略提供科学依据。方法从中国疾病预防控制信息系统导出2010-2014年报告的梅毒病例信息,从2所三甲医院皮肤科获取2014-01/07间梅毒病例的治疗情况,进行统计分析。结果 2010-2014年病例报告数分别为739、719、618、611和807例,2014-01/07月隐性梅毒发病342例(76%),高于2013年同期246例(63.9%),差异具有统计学意义(χ~2=14.7,P<0.01);病例发现来源主要为术前检查,共160例(35.5%),因出现性病症状或怀疑感染而检查118例(26.2%)。确诊病例中未接受抗梅毒治疗的病例占5.6%,接受抗梅毒治疗的病例中22.1%未完成1个最低疗程。结论梅毒报告发病呈逐年上升趋势,隐形梅毒病例比例大。应加强对高危人群的健康教育,提高预防意识,促进主动检测,医疗机构应促进确诊病例接受规范治疗。

Objective To investigate the status of the syphilis report and treatment in Zigong city and provide evidence for syphilis prevention and control policy making. Methods The data of syphilis cases report from China disease prevention and control information system from 2010 to 2014 were collected to analyze. And the medical records were collected from 2 highest- level hospitals in Zigong city to be analyzed during January to July 2014. Results There were 739,719,618,611 and 807 syphilis cases reported from 2010 to 2014,respectively. The proportion of recessive syphilis in 2014 was significantly higher than that in 2013（ χ~2= 14. 7,P 0. 01）,160 cases（ 35. 5%） were from preoperative blood test contributed. 118 cases（ 26. 2%） were suspected the sexual transmitted diseases or related symptom. 5. 6% of the diagnosed cases didn＇ t receive anti- syphilis treatment and 22. 1% didn＇ t completed minimum period of treatment. Conclusion The syphilis report is increasing in every year with main discovery of recessive syphilis. We should strengthen the health education for high- risk population and develop policies to prompt medical institutions offer adequate anti-syphilis treatment.