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目的分析2004—2012年间沈阳市梅毒疫情流行特征,为预防控制梅毒提供数据参考。方法通过《疾病监测信息报告管理系统》收集2004—2012年上报的沈阳市梅毒病例进行描述流行病学分析。结果 2004—2012年沈阳市共报告梅毒病例19 006例,死亡2例。年报告发病率范围为14.27/10万~47.77/10万;除2005年略有下降外,其余各年均呈逐年上升趋势,各年度报告发病率总体间差异有统计学意义(P<0.01)。男性病例多于女性(P<0.01),发病年龄主要集中在20~49岁年龄段,占报告病例总数的63.16%。地区分布上显示城区(40.05/10万)高于郊区(26.71/10万),郊区高于农村(7.76/10万)。结论沈阳市梅毒疫情总体呈逐年上升趋势,2012年位列于法定报告传染病的第3位,是严重的公共卫生问题。
Objective To analyze the epidemiological characteristics of syphilis epidemic in Shenyang City from 2004 to 2012 and provide reference for prevention and control of syphilis. Methods Epidemiological analysis of syphilis cases reported in Shenyang from 2004 to 2012 was conducted through the Disease Surveillance Information Reporting Management System. Results A total of 19 006 cases of syphilis and 2 deaths were reported in Shenyang from 2004 to 2012. The incidence of annual reports ranged from 14.27 / lakh to 47.77 / lakh. In addition to a slight decline in 2005, the annual reports showed an upward trend year by year, with a statistically significant difference in the annual reports (P <0.01) . There were more males than females (P <0.01). The age of onset was mainly in the 20-49 age group, accounting for 63.16% of the total reported cases. The geographical distribution shows that the urban area (40.05 / 100,000) is higher than the suburbs (26.71 / 100,000) and the suburbs is higher than the rural areas (7.76 / 100,000). Conclusion The overall incidence of syphilis in Shenyang City has been increasing year by year. In 2012, the number of syphilis epidemic in Shenyang ranked third in the reported statutory infectious diseases, which is a serious public health problem.