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目的了解肇庆市三期梅毒流行情况,为制定防治措施提供参考。方法对2005-2014年肇庆市报告的三期梅毒病例进行流行病学调查分析。结果 2005-2014年,全市共报告三期梅毒病例247例,年均报告发病率为0.638 5/10万;病例主要分布在市城区,占26.32%,发病年龄集中在41岁以上,共报告180例,占72.87%,报告的174例符合梅毒诊断,准确率为70.45%,符合三期梅毒诊断标准的准确率为37.25%(92/247);调查显示神经梅毒(三期梅毒)病例占78.26%(72/92)。结论肇庆市三期梅毒病例呈散发,报告准确性较低且神经梅毒病例占比较大,应加强医疗机构医务人员特别是精神科和神经科的诊疗及报告管理培训。
Objective To understand the epidemic situation of the third phase syphilis in Zhaoqing City and provide reference for making prevention and cure measures. Methods Epidemiological survey of three cases of syphilis reported in Zhaoqing City from 2005 to 2014 was conducted. Results From 2005 to 2014, a total of 247 syphilis cases were reported in the city, with an average annual incidence rate of 0.638 5/10 million. The cases were mainly located in the urban area, accounting for 26.32%. The age of onset was over 41 years old. A total of 180 cases were reported Cases, accounting for 72.87%, 174 cases reported in line with the diagnosis of syphilis, the accuracy rate was 70.45%, in line with the three syphilis diagnostic criteria for the accuracy rate of 37.25% (92/247); survey showed neurosyphilis (tertiary syphilis) cases accounted for 78.26 % (72/92). Conclusion The cases of syphilis in the third phase of Zhaoqing City were disseminated with low accuracy and a large proportion of cases of neurosyphilis. The training of medical staff in medical institutions, especially in the psychiatry and neurology, should be strengthened.