2011—2018年察哈尔右翼后旗梅毒流行病学分析

Epidemiological analysis of syphilis in Qahar Youyi Houqi from 2011 to 2018

目的分析2011-2018年内蒙古自治区察哈尔右翼后旗(简称察右后旗)梅毒病例的流行病学特征,为当地梅毒防控工作提供依据。方法收集2011-2018年察右后旗网络报告的梅毒病例资料,按年度、地区、性别、年龄和职业分布分析其流行特征。结果2011-2018年察右后旗共报告梅毒419例,年平均发病率为24.62/10万,发病率呈逐年上升趋势,差异无统计学意义(χ^2=-11468993.660,P>0.05);全旗7个乡(镇)均有病例报告,以白音查干镇最多(163例),占报告总数的39.90%;男性发病低于女性,男女性别比为1∶1.19;以40岁~组(21.48%)和70岁以上组(21.00%)最多,农民和家务及待业所占比例最高,合计占报告总数的82.34%;梅毒分型以隐性梅毒最多、占64.68%。结论察右后旗梅毒报告数呈逐年上升趋势,白音查干镇最多;应重点关注农村和城镇40岁以上家庭妇女和70岁以上老年高发人群,采取综合性防控措施,加强梅毒等性传播疾病预防知识的宣传教育,防止梅毒等传染病的发生和蔓延。

Objective To analyze the epidemiological characteristics of syphilis cases in Qahar Youyi Houqi,Inner Mongolia from 2011 to 2018,and provide evidence for local prevention and control of syphilis.Methods The syphilis patients reported by network in Qahar Youyi Houqi from 2011 to 2018 were statistically analyzed according to years,regions,genders,ages and occupations.Results A total of 419 patients with syphilis were reported from 2011 to 2018.The annual average incidence rate was 24.62/100000,with the incidence increasing year by year.The difference was statistically significant(χ^2=-11468993.660,P>0.05).Patients with syphilis distributed in 7 townships(towns)of the whole county,with the most in Bayan Qagan(163),accounting for 39.90%of the total reported cases.The number of the reported cases was lower in the male than in the female,with the ratio of 1∶1.19 between the male and female.The syphilis cases were reported the most in age groups of 40 years-(21.48%)and over 70 years(21.00%).The proportion was the highest of farmers,household workers and unemployed people,accounting for 82.34%of the total reported cases.Syphilis subtypes were mostly latent syphilis,accounting for 64.68%.Conclusions The reported number of syphilis patients in Qahar Youyi Houqi shows upward trend year by year,with the most in Bayan Qagan Town.Attention should be paid to in the rural housewives over 40 year-old and the people over 70 year-old.Comprehensive measures of prevention and control should be taken to strengthen the propaganda and education on syphilis and other sexually transmitted diseases,and prevent infectious diseases such as syphilis from the occurrence and spread.