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目的探讨梅毒患者的临床特点、合并其他性病情况、人口学特征、性伴数与安全套使用情况,为梅毒的综合防治提供依据。方法对近5年综合医院皮肤性病门诊梅毒患者进行流行病学特征研究。结果TPPA和TRUST均阳性梅毒患者共1 755例,92.36%为潜伏梅毒;HIV感染率为0.97%,生殖器疱疹感染率为5.30%;男女之比0.66∶1;年龄16~86岁,16~39岁年龄段占69.91%;各文化层次、各行各业均有分布,初中及以下占54.49%,32.65%为无业人员;98.75%为异性性传播;53.28%患者以体检为首要就诊原因;88.55%患者从未使用安全套,6.38%患者偶尔使用安全套;未婚者性伴数越多使用安全套的比例越低,已婚/离异/丧偶者性伴数越少使用安全套的频率越低。结论梅毒患者以潜伏梅毒为主,HIV及生殖器疱疹感染率高,普遍存在多性伴数、安全套使用率低;青中年、低文化程度和低经济收入群体是梅毒高发人群;性健康教育仍然不容忽视。
Objective To investigate the clinical characteristics of syphilis patients, combined with other sexually transmitted diseases, demographic characteristics, sexual partners and condom use, provide a basis for the comprehensive prevention and treatment of syphilis. Methods The epidemiological characteristics of syphilis in dermatology clinics in general hospitals in recent 5 years were studied. Results A total of 1 755 cases of TPPA and TRUST positive syphilis patients were found. 92.36% of them were latent syphilis. The HIV infection rate was 0.97% and genital herpes infection rate was 5.30%. The ratio of male to female was 0.66:1. The age ranged from 16 to 86 years Accounting for 69.91% of the total population; all levels of culture, all walks of life are distributed, accounting for 54.49% of junior high school and below, 32.65% unemployed; 98.75% of heterosexual transmission; 53.28% of patients with medical examination as the primary reason; 88.55% Condom was never used in patients, condoms were used occasionally in 6.38%, unmarried persons with condoms were more frequently used, and condom use was lower in married / divorced / widowed couples. Conclusions Syphilis is predominantly latent syphilis, with high infection rates of HIV and genital herpes, prevalence of multiple sex partners and low condom use rate. Middle-aged, low-educational and low-income groups are predominantly syphilis; sexual health education remains Can not be ignored.