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目的 探讨并实践商业性女性性工作者 (CFSW )性病发病情况连续监测和干预。方法 以CFSW作为研究对象。依地点分为商业中心组 (干预组 )和妇教所两组 (对照组 )。据卫生部防疫司制定的《性病防治手册》为诊断标准 ,检查其性病发病情况。干预组采取了定期监测、性病诊治、使用安全套等干预措施。结果 两组CFSW中未发现艾滋病感染者。干预组在性病的发病率上 ,较对照组有明显的降低 ,两组对比有高度显著性差异 (P <0 0 0 5 )。特别是梅毒 ,将干预组两个时间 (1999年 9月与 2 0 0 1年 9月 )的感染率进行比较 ,其两者之间的差异有极显著性意义 (P <0 0 0 5 ) ,对照组同期的差异无显著性 (P >0 0 5 )。结论 对CFSW性病监测的同时 ,提供正规的性病医疗服务、医务人员的定期督导等综合性干预措施不但必要 ,而且行之有效
Objective To explore and practice continuous monitoring and intervention of STDs in commercial female sex workers (CFSW). Methods CFSW as a research object. According to the location is divided into commercial center group (intervention group) and women and children two groups (control group). According to the “Prevention and Treatment of STD Manual” formulated by the Department of Epidemic Prevention of the Ministry of Health as diagnostic criteria, check the incidence of STDs. Intervention group adopted regular monitoring, STD diagnosis and treatment, the use of condoms and other interventions. Results No HIV infection was found in the two groups of CFSWs. The incidence of STDs in the intervention group was significantly lower than that in the control group, with a significant difference between the two groups (P <0 05). In particular, syphilis was compared between the two intervention groups (September 1999 vs. September 2001), and the difference between the two groups was statistically significant (P <0.05) , There was no significant difference in the control group over the same period (P> 0.05). CONCLUSIONS: In addition to the monitoring of CFSW STDs, it is not only necessary but also effective to provide comprehensive STD medical services and regular supervision of medical staff.