大连市金普新区2010~2020年梅毒流行特征分析与趋势研究

Analysis of syphilis prevalence characteristics and trends in Jinpu New District,Dalian City,2010-2020

目的探究分析在2010~2020年期间,大连金普新区的梅毒流行特点以及趋势,为今后梅毒的临床治疗提供依据。方法2010~2020年大连金普新区共收到梅毒报告6470例,统计分析梅毒发病患者的年龄分布、职业分类,不同年份的梅毒发病情况及构成类型。结果0~9岁、≥80岁这两个年龄段的病例数最少,分别为32例(占比0.49%)、87例(占比1.34%);20~29岁病例数最多,为1889例(占比29.20%),30~39岁、40~49岁次之,分别为1417例(占比21.90%)和1129例(占比17.45%)。2010~2020年大连金普新区梅毒共发病6470例,没有死亡报告。其中一期梅毒1466例(占比22.66%),二期梅毒2255例(占比34.85%),三期梅毒15例(占比0.23%),胎传梅毒27例(占比0.42%),隐性梅毒2707例(占比41.84%)。2011年梅毒发病率最高,为15.11/万;2020年发病率最低,为3.30/万。2010~2020年,职业为家务及待业人员病例数最多,占比64.45%。结论大连金普新区梅毒发病率较高,在进行防控治疗时,应该结合艾滋病的防治方式进行综合干预,对于梅毒发病率较高的地区进行重点监控,重点防治,以达到控制病毒流行的目的。

Objective To investigate and analyze the characteristics and trends of syphilis prevalence characteristics and trends in Jinpu New District,Dalian City,2010-2020,in order to provide a basis for future clinical treatment of syphilis.Methods A total of 6470 cases of syphilis were reported in Jinpu New District,Dalian City,2010-2020.The age distribution and occupational classification of syphilis patients were statistically analyzed,and the incidence and composition of syphilis in different years.Results The two age groups of 0-9 years and≥80 years had the least number of cases,32 cases(0.49%)and 87 cases(1.34%),respectively.The number of cases in the age group of 20-29 years old was the highest with 1889 cases(accounting for 29.20%),followed by the age groups of 30-39 years old and 40-49 years old with 1417 cases(accounting for 21.90%)and 1129 cases(accounting for 17.45%),respectively.There were 6470 cases of syphilis in Dalian Jinpu New District,2010-2020,and no death was reported.Among them,there were 1466 cases(22.66%)of stageⅠsyphilis,2255 cases(34.85%)of stageⅡsyphilis,15 cases(0.23%)of stageⅢsyphilis,27 cases(0.42%)of fetal syphilis and 2707 cases(41.84%)of occult syphilis.In 2011,the incidence of syphilis was the highest,at 15.11/10,000;in 2020,the incidence was the lowest,at 3.30/10,000.In 2010-2020,the occupation of housework and unemployed persons had the largest number of cases,accounting for 64.45%.Conclusion The incidence of syphilis is high in Jinpu New District,Dalian city.When carrying out prevention and control treatment,comprehensive interventions should be carried out in combination with HIV prevention and control methods,and key surveillance and prevention should be carried out in areas with a high incidence of syphilis in order to control the virus epidemic.