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目的探讨2000-2003年广州市性病疫情流行病学特征,为上级进一步制订预防控制措施提供科学依据。万法采用全国性病计算机管理系统软件,对2000-2003年广州市性病疫情报病资料及人口数据进行流行病学分析。结果近4年来,性病年发病率呈现逐年稳定下降态势。各种性病中,除艾滋病发病数及发病率逐年略为上升外,梅毒、淋病、非淋菌性尿道(宫颈)炎、尖锐湿疣及生殖器疱疹等几种性病的发病数及发病率均呈逐年下降趋势。其中,梅毒、淋病、尖锐湿疣的年发病率,由2000年的41.71/10万、70.13/10万和83.02/10万下降至2003年的32.36/10万、54. 35/10万和67.03/10万,降幅达1 9.3%-22.5%。病种构成以非淋菌性尿道(宫颈)炎比例最高,其次为尖锐湿疣, 淋病居第三位,各年分别与上年相比较,艾滋病、淋病、非淋菌性尿道(宫颈)炎、生殖器疱疹等所占构成比呈逐年增加趋势:梅毒、尖锐湿疣、软下疳、性病性淋巴肉芽肿等构成比呈下降态势。结论梅毒、淋病、尖锐湿疣、非淋菌性尿道(宫颈)炎明显下降,但HIV/AIDS的增长呈明显上升趋势,形势不容乐观,性病流行病学病谱改变,应加强HIV/AIDS的预防控制措施。
Objective To explore the epidemiological characteristics of venereal disease in Guangzhou from 2000 to 2003 and to provide a scientific basis for the further development of prevention and control measures. Method Using the national STD computer management system software, epidemiological analysis of epidemic information and population data of STD in Guangzhou from 2000 to 2003 was conducted. Results in the past 4 years, the annual incidence of venereal diseases showed a steady decline year by year. In addition to the slight increase in the number and incidence of AIDS among various venereal diseases, the incidence and incidence of several venereal diseases such as syphilis, gonorrhea, non-gonococcal urethritis (cervix), condyloma acuminatum and genital herpes are declining year by year . The annual incidence rates of syphilis, gonorrhea and genital warts decreased from 41.71 / 100000, 70.13 / 100000 and 83.02 / 100000 in 2000 to 32.36 / 100000, 54.35 / 100 and 67.03 / 100,000, a decrease of 1 9.3% -22.5%. The proportion of non-gonococcal urethral (cervix) inflammation was the highest, followed by condyloma acuminatum and third of gonorrhea, respectively. The incidence of AIDS, gonorrhea, non-gonococcal urethritis (cervix), genital herpes The composition ratio such as syphilis increased year by year: syphilis, genital warts, chancroid, sexually transmitted lymphogranuloma and other components showed a downward trend. Conclusions Syphilis, gonorrhea, condyloma acuminatum and non-gonococcal urethritis (cervix) were significantly decreased, but the growth of HIV / AIDS was obviously increased. The situation was not optimistic. The epidemiology of STD should be changed. HIV / AIDS prevention and control should be strengthened Measures.