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目的了解本地乡镇特定人群乙肝和梅毒感染状况,为更好地预防控制疾病提供科学依据。方法在实施“淮河流域癌症早诊早治项目”中对符合并自愿免费检查胃镜的人群。检查胃镜前,采集被检者的血液检测HIV抗体、乙肝表面抗原和梅毒螺旋体抗体。结果 3 604名受测者中未检测出HIV抗体,乙肝表面抗原阳性率为5.13%,梅毒螺旋体抗体阳性率为2.47%,梅毒抗体阳性标本中,查出RPR阳性为32份,占梅毒螺旋体抗体阳性率为35.96%。乙肝表面抗原阳性合并梅毒感染4例,其中2例RPR滴度为1∶64。结论农村乙肝表面抗原阳性和梅毒携带存在一定自然村落聚集特点,梅毒螺旋体抗体阳性率高,尤其是无症状RPR高滴度梅毒人群比例高,需要正规治疗,定期复检,减少传染的风险。
Objective To understand the status of hepatitis B and syphilis infection in specific township population and to provide a scientific basis for better prevention and control of disease. Methods In the implementation of “early diagnosis and treatment of cancer early Huaihe River ” in line with the voluntary and free gastroscopy check the crowd. Before examining the gastroscope, the blood of the test subjects was collected to detect HIV antibody, hepatitis B surface antigen and Treponema pallidum antibody. Results No HIV antibody was detected in 3 604 subjects, the positive rate of HBsAg was 5.13%, and the positive rate of Treponema pallidum antibody was 2.47%. In the positive samples of syphilis antibody, RPR was 32 positive, The positive rate was 35.96%. Hepatitis B surface antigen positive syphilis infection in 4 cases, of which 2 cases of RPR titer 1:64. CONCLUSIONS: Positive hepatitis B surface antigen (HBsAg) in rural areas and aggregation of syphilis exist in some villages. The positive rate of Treponema pallidum antibodies is high. In particular, the high proportion of asymptomatic RPR high titer syphilis population requires regular treatment and regular retest to reduce the risk of infection.