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目的分析广西梅毒流行病学特征及评价防制效果,为进一步制定防治策略提供科学依据。方法收集2004—2014年梅毒病例疫情资料,采用Excel 2003软件进行统计分析并制作图表。结果 2004—2014年广西发现梅毒病例共268 040例,梅毒病例已覆盖全省各市、县(区),2004—2011年每年梅毒病例呈逐年持续增多趋势,I期、II期、III期和胎传梅毒病例发病率最高达到26.83/10万。25~34岁年龄组男女性梅毒病例均达到高峰,发病率为14.94/10万。梅毒病例以农民为主,占总病例数的50.67%。梅毒发病率排前5位的市有3个为港口城市。采取行政干预后,各市县梅毒规范诊疗率逐年提高,2012年以后每年梅毒病例数及发病率逐年明显下降,2014年梅毒病例发病率下降至5.31/10万。结论 2012年以来,广西有效遏制了梅毒疫情持续上升的趋势,但仍需继续加强对梅毒病例的核查和规范化诊疗服务。
Objective To analyze the epidemiological characteristics of syphilis in Guangxi and evaluate the effect of prevention and treatment, so as to provide a scientific basis for further prevention and control strategies. Methods Epidemic data of syphilis cases collected from 2004 to 2014 were collected and analyzed by Excel 2003 software. Results A total of 268 040 cases of syphilis were found in Guangxi from 2004 to 2014. Syphilis cases have covered cities and counties (districts) throughout the province. The annual increase of syphilis cases from 2004 to 2011 showed a trend of increasing year by year. Stage I, II, III, The highest incidence of syphilis cases reached 26.83 / 100,000. Male and female syphilis cases reached the peak in the age group of 25 ~ 34 years, the incidence was 14.94 / 100000. Syphilis cases dominated by peasants, accounting for 50.67% of the total number of cases. The top 5 cities with syphilis incidence are 3 for the port city. After administrative intervention, the syphilis standard treatment rate in cities and counties has been increasing year by year. The number of cases of syphilis and the incidence rate of each syphilis decreased significantly year by year since 2012, and the incidence of syphilis cases in 2014 dropped to 5.31 / 100,000. Conclusion Since 2012, Guangxi effectively curbed the trend of increasing syphilis epidemic. However, it is still necessary to continue to strengthen the verification and standardized medical treatment of syphilis cases.