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某综合医院皮肤性病科门诊梅毒感染分析

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目的 统计2017年1月至2022年12月滨州医学院附属医院皮肤性病科门诊就诊患者梅毒感染情况,分析其感染率及流行趋势,为制定梅毒防控措施提供依据.方法 收集自愿进行梅毒检测患者的一般资料、梅毒螺旋体颗粒凝集试验(TPPA)和快速血浆反应素试验(RPR)检测数据,并进行统计学处理和分析.结果 2017至2022年,该院皮肤性病科门诊累计筛查患者6 290例,阳性感染者3 198例,年筛查人群阳性感染率分别为54.58%、53.19%、52.35%、49.79%、46.21%、45.89%.现症感染者 1 321 例(21.00%),年筛查人群现症感染率分别为23.21%、21.84%、20.99%、19.72%、19.53%、19.45%.感染高发年龄主要集中在21~40岁.感染人群中女性占比高于男性(P<0.05),性别比例为1︰0.89.2017至2019年女性占比分别为51.92%、53.19%、58.24%,呈逐年上升趋势,而2020至2022年女性占比明显下降,分别为50.32%、50.81%、50.27%.结论 梅毒感染率整体呈缓慢降低趋势,21~40岁为梅毒感染高发年龄段,女性感染率高于男性,而40岁以后女性则低于男性.因此,应加大对梅毒等性传播疾病的监测力度.
An epidemiological analysis of syphilis at dermatology and venereology clinic in a general hospital
Objective To investigate the incidence of patients with syphilis at dermatology clinic in Binzhou Medical University Hospital bewteen January 2017 and December 2022,and analyze its infection rate and epidemic trend,so as to provide an important basis for the control strategy of syphilis.Methods The general data of patients who voluntarily underwent syphilis testing,along with their corresponding test results in treponema pallidum particle agglutination(TPPA)and rapid plasma reagin(RPR)were collected for statistical analysis.Results A total of 6 290 cases were tested from 2017 to 2022,with 3 198 cases yielding positive results.The annual positive rates were 54.58%,53.19%,52.35%,49.79%,46.21%and 45.89%,respectively.There were 1 321(21.00%)cases with current infection,and the annual current infection rates were 23.21%,21.84%,20.99%,19.72%,19.53%and 19.45%,respectively.The majority of cases fell within the age range of 21-40 years.The proportion of infection was significantly higher in females compared to males(P<0.05),with a female to male ratio of 1︰0.89.The proportions of infection in females were 51.92%、53.19%and 58.24%respectively from 2017 to 2019,showing a consistent year-on-year growth trend.However,there was a significant decline in the proportions of infection in females at 50.32%,50.81%,and 50.27%from 2020 to 2022.Conclusion The incidence of syphilis is decreasing slowly year by year.The majority of cases occurred among individuals aged 21-40 years.While the incidence rate was higher in females compared to males,the incidence rate among females over 40 years old was lower than that among males.Therefore,enhanced monitoring measures should be implemented for sexually transmitted diseases such as syphilis.

SyphilisIncidence rateEpidemic trendPrevention and control measures

刘静、安荣真、郭科

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256600 滨州,滨州医学院附属医院输血科

滨州医学院附属医院皮肤性病科

滨州医学院附属医院神经外科

梅毒 感染率 流行趋势 防控措施

2024

实用皮肤病学杂志
中国人民解放军北京军区总医院

实用皮肤病学杂志

CSTPCD
影响因子:0.637
ISSN:1674-1293
年,卷(期):2024.17(4)