综合医院门诊、住院梅毒患者检出情况分析

Analysis of syphilis detection results in theoutpatients and inpatients of a general hospital

目的分析某综合医院住院及门诊梅毒患者梅毒血清学检测结果,探讨梅毒在综合医院中的现状及流行病学特征,为进一步开展梅毒防治工作提供新思路。方法选取2015年1月至2017年12月陕西省人民医院检测出的3241例梅毒血清学检测结果异常的住院及门诊患者的临床资料进行分析。结果 3241例梅毒血清学异常者中,门诊患者1247例(38.5%),住院患者1994例(61.5%),差异有统计学意义(χ~2=1096.94,P<0.01)。不同年份住院患者中,梅毒血清学异常者2015年为518例(16%),2016年为665例(20.5%),2017年为811例(25%),差异具有统计学意义(χ~2=43.59 P<0.01)。男性患者为1682例(52%),女性患者为1559例(48%),差异具有统计学意义(χ~2=73.17 P<0.01)。梅毒血清学异常者中,以20岁~39岁年龄段为主,共1105例;其次是40岁~59岁,共881例;第三位是≥60岁年龄段,共1056例;≤19岁年龄段最少,共199例。结论从3年的梅毒血清学检测结果发现,住院患者梅毒检出率逐年上升,不同性别、不同年龄段梅毒血清学特点不同。这对今后梅毒的筛查工作予以警示,及时发现并确诊梅毒,对患者而言早发现,早诊断,早治疗;对医务工作者而言,可以有针对性地加强自我保护,减少职业暴露风险。

Objective To analyze the serological test results of syphilis in the inpatients and outpatients of a general hospital and to explore the present situation and epidemiological characteristics of syphilis in general hospitals, in order to provide new ideas for the further prevention and treatment of syphilis. Methods The clinical data of 3241 inpatients and outpatients with abnormal serological test results of syphilis detected in Shaanxi Provincial people′s Hospital from January 2015 to December 2017 were analyzed. Results 3241 patients had serological abnormality of syphilis, including were 1247 outpatients(38.5%) and 1994 inpatients(61.5%), with statistically significant differences(χ~2=1096.94, P<0.01). Among the 1994 inpatients, there were 518 cases(16%), 665 cases(20.5%) and 811 cases(25%) admitted in 2015, 2016 and 2017 respectively, with statistically significant differences(χ~2=43.59 P<0.01). Among all the 3241 patients, there were 1682(52%) male patients and 1559(48%) female patients, with statistically significant differences(χ~2=73.17, P<0.01). Among them, there were 1105 cases aged from 20 to 39 years old, 881 cases aged from 40 to 59 years old, 1056 cases aged ≥60 years old and 199 cases ≤19 years old. Conclusions The detection rate of syphilis among inpatients keeps increasing from three years, with different serological characteristics depending on genders and ages, which is of significance for future screening of syphilis. Early detection, early diagnosis and early treatment is important for patients, while for medical professionals, self-protection should be strengthened to reduce occupational exposure.