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目的了解中山大学附属第五医院住院患者TPPA阳性者的构成分布情况。方法回顾性分析近4年来本院住院患者TPPA阳性者的一般资料、健康状况,并做性行为及梅毒患病状况的跟踪调查。结果3年3个月住院患者TPPA阳性数呈上升趋势,36～50岁年龄组阳性人数最多,占24.7%,新生儿3例。TPPA阳性者24个科室均有,患外科疾病者多于患内科疾病者,男性多于女性(P<0.01)。所有患者中承认有不洁性行为者32例,追踪调查出现梅毒临床症状者9例。结论普通住院患者TPPA阳性者人数逐年增多,以青壮年者人数居多;住院患者应常规做TPPA检查;住院患者TPPA阳性不能确诊患有梅毒,应综合分析。
Objective To understand the composition and distribution of TPPA positive inpatients in the Fifth Affiliated Hospital of Sun Yat-sen University. Methods A retrospective analysis of hospitalized patients in recent 4 years TPPA-positive general information, health status, and sexual behavior and syphilis prevalence follow-up survey. Results The positive number of TPPA in hospitalized patients was on the rise in 3 years and 3 months. The positive number was 36.7% in 36 ~ 50 years old group and 3 cases in neonates. Twenty-two departments of TPPA-positive patients had more surgical diseases than those with medical problems, more men than women (P <0.01). Among all the patients, 32 patients admitted with unclean sexual behaviors and 9 patients with syphilis clinical symptoms were followed up. Conclusions The number of TPPA-positive patients in ordinary hospitalized patients increases year by year, with the majority being young and middle-aged; TPPA examination should be routinely performed in hospitalized patients; and TPPA-positive inpatients can not be diagnosed with syphilis, which should be analyzed comprehensively.