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目的为了控制梅毒疫情,分析2011-2015年抚州市梅毒的流行趋势与特征,提出预防控制对策。方法采用描述性流行病学方法对2011-2015年抚州市梅毒疫情监测数据进行分析。结果 2011-2015年抚州市报告梅毒年均发病率13.17/10万,发病率呈上升趋势(χ_(趋势)~2=182.340,P<0.001),发病率年均增长速度22.50%。发病以隐性梅毒和Ⅰ期梅毒为主,隐性梅毒(χ_(趋势)~2=199.544,P<0.001)和Ⅰ期梅毒(χ_(趋势)~2=13.727,P<0.001)发病率均呈上升趋势。高发病区依次为广昌县、南丰县、南城县、乐安县、临川区和黎川县。发病以农民、家务及待业人群和职业不祥人群为主,农民发病构成比呈下降趋势(χ_(趋势)~2=8.191,P=0.004),家务及待业人群发病构成比呈上升趋势(χ_(趋势)~2=25.464,P<0.001)。不同性别人群隐性梅毒、Ⅰ期梅毒、Ⅱ期梅毒和胎传梅毒发病率差异均有统计学意义(均有P<0.05)。发病年龄主要集中在20~49岁年龄段,不同性别人群发病年龄分布不同。结论抚州市对梅毒高发病区需采取有效的针对性干预措施,以农民、家务及待业人群为重点,加强人群性健康教育,对隐性梅毒和Ⅰ期梅毒早发现、早诊断、早期实行规范治疗。
Objective To control the epidemic of syphilis and analyze the epidemic trends and characteristics of syphilis in Fuzhou City from 2011 to 2015 and put forward prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the monitoring data of syphilis in Fuzhou from 2011 to 2015. Results The average incidence of syphilis in Fuzhou from 2011 to 2015 was 13.17 / lakh, the incidence was on the rise (χ_ (trend) ~ 2 = 182.340, P <0.001). The average annual growth rate was 22.50%. Incidence of latent syphilis and primary syphilis were mainly associated with the incidence of latent syphilis (χ_ (trend) ~ 2 = 199.544, P <0.001) and stage Ⅰ syphilis (χ_ tendency ~ 2 = 13.727, P <0.001) Upward trend. High incidence area followed by Guangchang County, Nanfeng County, Nancheng County, Le County, Linchuan and Lichuan County. The incidence of peasants, housework and unemployed people and the professional ominous people were the main factors in the incidence of peasants (χ_ (trend) ~ 2 = 8.191, P = 0.004) Trend) ~ 2 = 25.464, P <0.001). The incidences of latent syphilis, stage Ⅰ syphilis, stage Ⅱ syphilis and fetal syphilis were significantly different among different sex groups (all P <0.05). The age of onset mainly concentrated in the age group of 20 to 49 years, different age groups of different sex distribution. Conclusions Fuzhou should take effective targeted interventions on the high incidence of syphilis, with emphasis on peasants, domestic workers and unemployed people, and to enhance sexual health education of people. Early detection, early diagnosis and early diagnosis of latent syphilis and Ⅰ syphilis should be implemented early treatment.