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目的分析兰州市城关区5年来(2006～2010年)的梅毒流行病学特征,探讨影响梅毒流行的诸多因素,为制订预防控制措施提供科学依据。方法采用描述流行病学方法,对2006～2010年城关区梅毒疫情报告资料进行统计分析。结果 2006～2010年城关区共报告梅毒病例3 003例,年平均发病率65.09/10万;男女之比为1.32∶1;20～39岁占61.20%,感染者多为青壮年;中学文化程度占56.78%;性接触传染占74.26%,无明显季节高峰;隐性梅毒、一期梅毒、二期梅毒、胎传梅毒、三期梅毒分别占41.72%、31.44%、20.58%、3.93%、2.33%,报告病例数逐年增长。结论梅毒疫情日益严重,应加强健康教育,提倡安全性行为;对高危人群开展HIV抗体筛查的同时,应加强梅毒监测、加强医疗消毒,以有效控制梅毒的流行。
Objective To analyze the epidemiological characteristics of syphilis in Chengguan District of Lanzhou City in the past five years (2006 ~ 2010), discuss the factors influencing the prevalence of syphilis, and provide a scientific basis for the development of prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the data of syphilis epidemic in Chengguan District from 2006 to 2010. Results A total of 3 003 cases of syphilis were reported in Chengguan District from 2006 to 2010. The average annual incidence was 65.09 / 100000. The ratio of male to female was 1.32:1. Among them, 61.20% were from 20 to 39 years old, most of whom were young and middle-aged. Accounted for 56.78%; sexual contact infection accounted for 74.26%, no significant seasonal peak; latent syphilis, a syphilis, two syphilis, fetal syphilis, tertiary syphilis accounted for 41.72%, 31.44%, 20.58%, 3.93%, 2.33 %, The number of reported cases increased year by year. Conclusion The epidemic of syphilis is worsening day by day. Health education should be strengthened to promote safe behaviors. At the same time, screening of HIV antibodies should be strengthened in high-risk groups. At the same time, syphilis surveillance should be strengthened and medical disinfection should be strengthened to effectively control the prevalence of syphilis.