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目的了解四川省德阳市梅毒的流行特点和趋势,为制定有效的梅毒综合防治策略提供依据。方法对2008-2014年中国疾病预防控制信息系统网络直报德阳市梅毒流行病学资料进行分析。结果德阳市2008-2014年累计报告梅毒病例9 706例,年平均发病率为35.63/10万。2008-2012年,发病呈逐年上升趋势,2012年发病率最高45.43/10万,2012年以后,疫情呈逐渐下降趋势。德阳市所辖1区2县3市均有病例报告,累计报告病例数前2位的县区是旌阳区和中江县,旌阳区报告发病率(46.86/10万)明显高于其他县区(平均36.50/10万)。高发年龄段为20~49岁组性活跃人群,占68.50%,平均男女之比为1∶1.23;60岁及以上组占15.69%;男性50岁及以上组报告病例数明显高于女性。梅毒报告病例以农民和家务及待业为主,占发病总数的63.45%。隐性梅毒6 854例,占70.62%。结论 2012-2014年德阳市梅毒的发病呈下降趋势,青中年梅毒报告病例数较高。
Objective To understand the epidemiological characteristics and trends of syphilis in Deyang City, Sichuan Province, and to provide basis for establishing an effective syphilis prevention and control strategy. Methods The epidemiological data of syphilis in Deyang City were directly analyzed from 2008 to 2014 in China CDC network. Results A total of 9 706 syphilis cases were reported in Deyang from 2008 to 2014, with an average annual incidence of 35.63 / 100 000. From 2008 to 2012, the incidence showed a rising trend year by year, with the highest incidence in 2012 reaching 45.43 / 100000. After 2012, the epidemic situation showed a gradual downward trend. Deyang City, a district under the jurisdiction of 2 counties and 3 cities have a case report, the cumulative number of cases reported the first two counties in Jingyang District and Zhongjiang County, Jingyang District reported incidence (46.86 / 100,000) was significantly higher than other counties District (average 36.50 / 100,000). The prevalence of active age group was 20.49 years old, accounting for 68.50%. The average ratio of male to female was 1: 1.23. The age group of 60 and over accounted for 15.69%. The male 50 years old and above reported significantly higher number of cases than female. Syphilis reported cases of peasants and household and unemployed mainly accounted for 63.45% of the total incidence. 6 854 cases of latent syphilis, accounting for 70.62%. Conclusion The incidence of syphilis in Deyang City decreased from 2012 to 2014, and the number of reported cases of syphilis in middle-aged and young people was higher.