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目的通过对内蒙古自治区满洲里市2006-2010年梅毒进行流行病学分析,为制定防治措施提供科学依据。方法对全市梅毒报告资料用SPSS软件进行统计分析,采用描述流行病学方法描述梅毒疫情的流行特征。结果 5年共报告梅毒308例,年均发病率为34.15/10万,呈高发态势,年均环比增长速度为17.96%,发病数位居甲、乙类传染病前5位;以Ⅰ期梅毒与隐性梅毒为主,构成比分别占44.81%和36.36%,Ⅱ期梅毒与隐性梅毒呈上升趋势;发病以市区为主,占总病例数的56.82%;男女发病数性别比为1∶1.10,男性以Ⅰ期梅毒为主,女性以隐性梅毒为主,女性梅毒增长幅度高于男性;发病集中在30～45岁,占全部病例的48.05%,<45岁年龄组女性发病显著高于男性,≥45岁年龄组男性发病显著高于女性;职业以家务、待业和工人为主,占病例总数的47.40%。结论满洲里市梅毒发病率正处于高发态势,需根据流行病学特征,采取有针对性的预防控制措施,加强对青壮年、文化水平较低的性活跃人群、外来人口、特殊行业人群等高危人群、重点人群梅毒监测工作,采取婚前、术前、分娩前的筛查筛检,提供免费梅毒咨询检测服务和规范化梅毒诊疗服务,开展高危人群行为干预措施,加大对高危人群、重点人群开展性病防治知识宣传教育力度。
Objective To analyze the epidemiology of syphilis in Manzhouli City of Inner Mongolia from 2006 to 2010, and provide a scientific basis for making prevention and cure measures. Methods The data of syphilis reported in the city were analyzed by using SPSS software. Descriptive epidemiological method was used to describe the epidemiological characteristics of syphilis epidemic. Results A total of 308 cases of syphilis were reported in 5 years, with an average annual incidence of 34.15 / 100 000. The average annual growth rate was 17.96% With latent syphilis, accounting for 44.81% and 36.36%, respectively. The incidence of secondary syphilis and latent syphilis was on an upward trend. The incidence was mainly in urban areas, accounting for 56.82% of the total number of cases. The sex ratio of male to female was 1 : 1.10, the main male Ⅰ syphilis, predominantly female recessive syphilis, female syphilis increased more than men; the incidence concentrated in 30 to 45 years old, accounting for 48.05% of all cases, women in the <45 age group significantly The incidence of males was significantly higher than that of males and ≥45 years old. The occupations were mainly household, unemployed and laborers, accounting for 47.40% of the total cases. Conclusions The prevalence of syphilis in Manzhouli City is at a high level. According to the epidemiological characteristics, targeted prevention and control measures should be taken to strengthen the prevention and control of high-risk groups such as young adults, sexually active people with low educational level, migrant population and special trades , Syphilis surveillance in key populations, pre-marital, preoperative and pre-delivery screen screening to provide free syphilis counseling and testing services and standardization of syphilis diagnosis and treatment services to carry out high-risk behavior intervention groups, increase the high-risk groups, key populations to carry out sexually transmitted diseases Prevention and treatment of knowledge publicity and education efforts.