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目的了解荆门市2004—2012年梅毒流行特征及规律,为制定防治对策提供依据。方法用描述性流行病学法分析疫情资料。结果 2004—2012年共报告梅毒1 660例,年均发病率6.40/10万,发病率最高为2012年(11.91/10万),发病率上升趋势明显。传染病发病顺位由2004年的第9位上升至2012年的第3位,占乙类传染病比例由0.5%上升至4.9%;以隐性梅毒增幅最大。发病无明显季节高峰。男705例,女955例,性别比0.74∶1,女性发病率高于男性。病例分型:Ⅰ期435例(26.2%)、Ⅱ期343例(20.7%)、Ⅲ期11例(0.7%)、胎传57例(3.4%)、隐性814例(49.0%)。病例主要集中在20~49岁(69.8%);职业以农民、不详及家务待业者为主。结论荆门市梅毒发病率呈逐年上升趋势,将对社会、家庭及下一代健康产生严重影响,防控工作刻不容缓。
Objective To understand the epidemic characteristics and laws of syphilis in Jingmen City from 2004 to 2012, and to provide the basis for the prevention and treatment measures. Methods Descriptive epidemiological analysis of epidemic data. Results A total of 1 660 cases of syphilis were reported from 2004 to 2012, with an average annual incidence of 6.40 / 100 000. The highest incidence was in 2012 (11.91 / 100 000), with a significant increase in incidence. The overall incidence of infectious diseases rose from 9th in 2004 to 3th in 2012, accounting for 4.9% of the total of Category B infectious diseases, with the largest increase being in recessive syphilis. No significant seasonal peak incidence. There were 705 males and 955 females, with a sex ratio of 0.74:1. The incidence of females was higher than that of males. There were 435 cases (26.2%) in stage Ⅰ, 343 cases (20.7%) in stage Ⅱ, 11 cases (Ⅲ) in stage Ⅲ, 57 cases (3.4%) in fetal stage and 814 cases (49.0%) in latent stage. The cases mainly concentrated in 20 to 49 years old (69.8%); occupation was dominated by peasants, unknown and domestic workers. Conclusions The incidence of syphilis in Jingmen City has been increasing year by year, which will have a serious impact on the health of the society, families and next generation. Prevention and control should be urgently needed.