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目的了解辽阳市梅毒流行特点和发展趋势,为制订和调整梅毒防控策略提供科学依据。方法采用描述性流行病学方法对辽阳市2005~2013年梅毒疫情资料进行分析。结果 2005~2013年辽阳市累计报告梅毒4 740例,发病率为28.41/10万。梅毒年发病率从2005年的11.35/10万增长到2013年的52.27/10万,年平均增长速度为21.03%;报告病例数的年平均增长速度是21.39%;近年来隐性梅毒增幅较大,各年度梅毒发病分期之间差异有统计学意义(P<0.01);男性发病2 348例,女性发病2 392例,男女性别比为0.98∶1;高发年龄组为20~49岁,共3 057例,占总报告数的64.49%,重点人群是农民和家务及待业者,分别是1 047例(占22.09%)、893例(占18.84%)。结论辽阳市梅毒发病呈上升趋势,应规范梅毒诊治,进一步采取有效的干预措施控制梅毒流行。
Objective To understand the epidemiological characteristics and development trend of syphilis in Liaoyang and provide a scientific basis for formulating and adjusting syphilis prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemic data of syphilis in Liaoyang from 2005 to 2013. Results A total of 4740 syphilis cases were reported in Liaoyang City from 2005 to 2013, with a prevalence of 28.41 / 100 000. The annual incidence of syphilis increased from 11.35 / 100000 in 2005 to 52.27 / 100000 in 2013, with an average annual growth rate of 21.03%. The average annual growth rate of reported cases was 21.39%. In recent years, the incidence of latent syphilis increased significantly (P <0.01). There were 2 348 cases of male onset and 2 392 cases of female disease, the male-female ratio was 0.98:1. The high incidence group was 20-49 years old, with a total of 3 057 cases, accounting for 64.49% of the total number of reports. The key population is peasant and household and unemployed persons, with 1,047 (22.09%) and 893 (18.84%) respectively. Conclusion The incidence of syphilis in Liaoyang City is on the rise. Syphilis should be standardized for diagnosis and treatment, and effective interventions should be taken to control the prevalence of syphilis.