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目的为了分析性病门诊中梅毒的感染趋势,我们研究了1994-2002年梅毒的发病状况。方法全部病例均经过询问病史、临床检查、梅毒螺旋体或梅毒血清学检测阳性而确诊。结果梅毒为2067例,占性病总人数的20.01%(2067/ 10330)。其中1994-2002年梅毒占每年性病总数的比例分别为0.57%,0.53%,3.54%,16.20%,31.29%,27.88%,25.63%. 17.11%,10.48%。男性占49.64%(1026/2067),女性占50.36%(1041/2067)。一期梅毒925例(44.75%),二期梅毒928 例(44.90%),早期潜伏梅毒202例(9.77%),早期胎传梅毒12例(0.58%)。发病年龄以30-39岁最多,其次是20-29岁, 第三是40-49岁,1997年起有胎传梅毒病例的发生。职业分布前三位为无职业者、干部、职员。文化程度以中学、大学、小学为主。已婚者1816例,未婚者251例(儿童14例)。非婚性接触1587例,配偶传播290例,母婴传播12例,间接接触(不详)178例。结论1994-1995年,梅毒病例偶发,1996-1999年,梅毒总体呈快速发展的趋势,2000-2002 年,梅毒的发病率及占性病总数的比例开始逐年降低。但应注意的是胎传梅毒发生的增多。
Objective To analyze the trend of syphilis infection in STD clinics, we studied the incidence of syphilis in 1994-2002. Methods All cases were confirmed by inquiry history, clinical examination, positive for Treponema pallidum or syphilis serology. Results 2067 cases of syphilis, accounting for 20.01% of the total number of STDs (2067/10330). The proportion of syphilis among the total number of STDs in 1994-2002 was 0.57%, 0.53%, 3.54%, 16.20%, 31.29%, 27.88%, 25.63%, 17.11% and 10.48% respectively. Men accounted for 49.64% (1026/2067), women accounted for 50.36% (1041/2067). There were 925 cases (44.75%) of primary syphilis, 928 cases (44.90%) of secondary syphilis, 202 cases (9.77%) of early latent syphilis and 12 (0.58%) cases of early fetal syphilis. The incidence of age to 30-39 years of age, followed by 20-29 years old, the third is 40-49 years old, there have been cases of syphilis since 1997. The top three occupations are unemployed, cadres and staff. Degree of education to high school, university, primary school. 1816 married, 251 unmarried children (14 children). 1587 cases of non-marital contact, 290 cases of spousal transmission, 12 cases of mother-to-child transmission, indirect contact (unknown) 178 cases. Conclusions In 1994-1995, syphilis cases were sporadic. From 1996 to 1999, syphilis showed a trend of rapid development. From 2000 to 2002, the incidence of syphilis and the proportion of total number of STDs began to decrease year by year. However, it should be noted that there is an increase in fetal syphilis.