论文部分内容阅读
目的了解新疆本地梅毒感染流行特征,为新疆梅毒高发分子流行病学研究及防治对策提供依据。方法对新疆医科大学第一附属医院2012~2014年诊治梅毒患者资料进行回顾性分析。结果 1临床分期:主要隐性梅毒患者3年总计1 642例(96.7%),一期29例(1.7%)、二期13例(0.77%)、三期3例(0.18%)、胎传梅毒11例(0.6%);2地域:乌鲁木齐市高流行地区682例(40%),其次喀什地区118例(6.9%);3性别:男性多于女性[男性918例(54%)、女性780例(46%)];4民族:汉族患者多于维吾尔族和哈萨克族[汉族813例(47.9%)、维吾尔族620例(36.5%)、哈萨克族99例(5.8%)];5文化程度:依次为高中508例(29%)、大专及以上443例(26.1%)、初中374例(22.0%)、小学302例(17.7%);6婚姻:已婚人群为主要感染人群总计1 498例占88.2%、未婚发病人数200例11.8%;7接触史:非婚异性性接触感染为主要人群总计1 116例(65.7%)、配偶/固定性伴阳性接触感染259例(15.3%);8最有可能感染途径:异性之间传播为主要传播途径1 351例(79.5%)、母婴传播10例(0.59%)。结论新疆地区梅毒发病仍然呈高流行趋势,明确新疆梅毒高发的流行病学特点将有助于梅毒的防控与治疗。
Objective To understand the epidemiological characteristics of local syphilis infection in Xinjiang and provide evidence for the molecular epidemiology and control strategies of high incidence of syphilis in Xinjiang. Methods The data of patients with syphilis diagnosed and treated in the First Affiliated Hospital of Xinjiang Medical University from 2012 to 2014 were retrospectively analyzed. Results A total of 1 642 (96.7%) cases of primary latent syphilis were found in 29 cases (1.7%), 13 cases (0.77%) in stage 2, 3 cases (0.18%) in stage 3, Syphilis in 11 cases (0.6%); 2 areas: 682 cases (40%) in Urumchi high prevalence area, followed by Kashi area 118 cases (6.9%); 3 gender: more men than women [male 918 cases (54% (47.8%), Uighur 620 (36.5%), Kazak 99 (5.8%)]; 5 Culture: The number of Han patients is higher than that of Uygur and Kazaks (29.1%), junior high school and above 443 cases (26.1%), junior high school 374 cases (22.0%), primary school 302 cases (17.7%); 6 Marriage: the married population is the main infectious population 498 cases accounted for 88.2%, and the number of unmarried patients was 11.8%. 7 History of exposure: A total of 1116 cases (65.7%) were major non-marital heterosexual infections, 259 cases (15.3%) were spouses / ; 8 The most likely route of infection: transmission between heterosexuals was 1 351 (79.5%) in the main route of transmission and 10 (0.59%) in mother-infant transmission. Conclusion The incidence of syphilis in Xinjiang is still a high prevalence trend. It is clear that the epidemiological characteristics of high incidence of syphilis in Xinjiang will be helpful for the prevention and treatment of syphilis.