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目的了解缙云县梅毒发病趋势和流行特点,为制定有效防治措施提供参考依据。方法根据缙云县2010-2014年上报中国疾病预防控制信息系统的梅毒病例资料进行流行病学分析。结果 2010-2014年缙云县共报告梅毒病例1 196例,年平均报告发病率为52.21/10万。梅毒发病率由2010年的73.76/10万下降至2014年的37.22/10万,年均递减15.47%。五年间发病率差异有统计学意义(χ~2=67.20,P=0.000)。梅毒分型以隐性梅毒、Ⅰ期梅毒、Ⅱ期梅毒为主。男性梅毒发病率为42.51/10万,女性的发病率为62.58/10万,男女之间的发病率差异有统计学意义(χ~2=8.78,P=0.003)。病例主要集中在20~49岁年龄组,占病例总数的60.62%。职业中农民占总数的76.84%。结论缙云县梅毒疫情虽有所下降,但年发病率还处于高位,要针对流行特征,重点做好高危人群的防治干预工作,控制梅毒的传播扩散。
Objective To understand the prevalence and epidemic characteristics of syphilis in Jinyun County and provide a reference for the formulation of effective prevention and control measures. Methods According to the epidemiological analysis of syphilis cases reported by China Disease Prevention and Control Information System from 2010 to 2014 in Jinyun County. Results A total of 1 196 syphilis cases were reported in Jinyun County from 2010 to 2014, with an average annual incidence of 52.21 / 100,000. The incidence of syphilis dropped from 73.76 / 100000 in 2010 to 37.22 / 100000 in 2014, with an average annual decrease of 15.47%. The incidence of five-year difference was statistically significant (χ ~ 2 = 67.20, P = 0.000). Syphilis type to latent syphilis, Ⅰ syphilis, Ⅱ syphilis based. The incidence of male syphilis was 42.51 / 100000, the incidence of female was 62.58 / 100000, the incidence of male and female was statistically significant (χ ~ 2 = 8.78, P = 0.003). The cases mainly concentrated in the 20 to 49 age group, accounting for 60.62% of the total number of cases. Occupation in the total number of farmers accounted for 76.84%. Conclusions Although the epidemic situation of syphilis in Jinyun County has declined, the annual incidence rate is still at a high level. We should focus on the epidemiological features and focus on prevention and intervention of high-risk groups and control the spread of syphilis.