衢州市性病门诊患者梅毒感染情况分析

目的了解衢州市性病门诊患者梅毒感染情况及相关的危险因素。方法对性病门诊疑似性病的1670例就诊者用RPR法初筛,阳性者用TPPA法进一步确证,同时进行流行病学问卷调查,对梅毒感染者相关因素进行统计学分析。结果经TPPA检测梅毒阳性152(9.10%)例,以早期梅毒为主(80.92%),其次是隐性梅毒(17.76%);Logistic回归分析表明,有婚史、不洁性行为、2个以上性伴、性伴患梅毒史等是梅毒感染的危险因素,而使用安全套起保护作用。结论性病门诊梅毒患者以早期梅毒为主,隐性梅毒次之,加强对有不洁性行为就诊者及其性伴的梅毒筛查,可减少传染源。

Analysis of Syphilis Infection in Outpatients for Sexually Transmitted Diseases

Objective To analyze the prevalence of syphilis infection and the risk factors of outpatient for sexually transmitted diseases(STD) in Quzhou city.Methods Total of 1 670 subjects with STD were selected and rapid plasma reagent testing (RPR) were performed.Patients with positive RPR test were confirmed by the Treponema pallidum particle agglutination(TPPA) test.Meanwhile,an epidemiologic questionnaire survey on STDs was conducted.The results which were relative to syphilis infection were analyzed by logistic regression analysis.Results The prevalence of syphilis was 9.10%.Most of the patients were in early phases(80.92%),the second was the recessive syphilis(17.76%).The logistic regression analysis indicated that the risk factors were history of marriage,unsafe sexual behavior,two or more sexual partners and sexual partners with syphilis,the protective factor was the using of condoms.Conclusion The early syphilis infection is the most clinic types but the recessive syphilis can not be ignored in the outpatients for STD.The syphilis screening ought to be strengthened in the population with unsafe sexual behaviours and their sexual partners.