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目的用3种方法联合检测了解本院的梅毒检出率,为梅毒的防治工作提供依据,有效地预防梅毒的医院感染。方法对本院2011年-2013年1 620例门诊及住院患者梅毒阳性病例进行回顾性分析。结果 3年共检测梅毒80 246人,感染者1 620例、阳性检出率依次为1.78%、1.97%、2.26%,其中男性872例、女性748例、男女比例为1.16∶1;61岁~70岁阳性检出率最高,<60岁男性以41岁~50岁居多,女性以31岁~40岁居多;不同年份RPR阳性者血清滴度之间的人数差异有统计学意义(P<0.001),RPR血清滴度≥1∶8 208例,其中21岁~30岁年龄组67例(32.21%)占一定比例。结论梅毒感染者检出率逐年上升;61岁以上老年人群占有较高的比例;21岁~30岁育龄妇女是重点人群,做好孕产期血清学筛检可减少胎传梅毒的发生;用3种方法联合检测可避免漏检并能促进梅毒的早发现、早诊断、早治疗。
Objective To detect the detection rate of syphilis in our hospital by three methods and to provide basis for the prevention and control of syphilis so as to effectively prevent the hospital infection of syphilis. Methods A retrospective analysis of 12 620 cases of syphilis inpatients and inpatients from 2011 to 2013 in our hospital was conducted. Results A total of 80 246 syphilis cases were detected in 3 years and 1 620 cases were infected. The positive rates were 1.78%, 1.97% and 2.26%, respectively, of which 872 were males and 748 were females, the ratio of male to female was 1.16:1; The highest positive rate was found at age 70, with the majority of men <41 years of age to 50 years of age and the majority of women aged 31 years to 40 years. There was significant difference in serum titer between RPR positive individuals in different years (P <0.001) ), RPR serum titer≥1: 208 208 cases, of which 67 cases (21.21%) of 21 to 30 age group accounted for a certain proportion. Conclusion The detection rate of syphilis increased year by year; the elderly population over 61 years accounted for a higher proportion; 21 to 30 years of age women of childbearing age are the key population, do a good job serological screening of pregnant women can reduce the incidence of syphilis; 3 kinds of methods combined detection can avoid missed detection and can promote the early detection of syphilis, early diagnosis and early treatment.