2004～2011年广西天等县淋病、梅毒、AIDS／HIV流行病学特征分析

目的了解广西天等县近年梅毒、淋病、艾滋病和HIV阳性病例流行病学特征，分析其流行规律，为该县制定防治策略提供科学依据。方法收集该县2004～2011年的梅毒、淋病、AIDS／HIV阳性病例疫情资料，采用Excel软件进行统计分析。结果2011年全县总人口33万，2004～2011年8年报告梅毒、淋病、艾滋病和HIV阳性病例共1576例，年均人群发病率为60．46／10万，其中淋病为19．26／10万，梅毒为33．30／10万，AIDS／HIV阳性为7．90／10万，年均人群死亡率为2．46／10万，为该县引起死亡病例的主要传染病。患者中男性高于女性为1．19：1，全县各乡镇各种职业和各年龄组均有患者存在，以农民发病人数为最多占74．94％。梅毒和AIDS／HIV阳性病例近几年呈现较明显的平行上升，两种病例数之比为4．21：1。结论该县淋病、梅毒、AIDS／HIV阳性病例逐年增多，AIDS／HIV阳性病例已从城市向农村、从高危人群向普通人群扩散，并以性传播为主，需进一步加强当地的防治工作。

Analysis of epidemiological characteristics in gonorrhea,syphilis,AIDS/ HIV in Tiandeng county,Guangxi from 2004 to 2011

Objective To understand the epidemiological characteristics of syphilis, gonorrhea, AIDS and HIV- positive cases in Tiandeng county Guangxi in recent years,and analyze their epidemic pattern for providing scientific basis for developing prevention and treatment strategies. Methods Data about syphilis,gonorrhea,AIDS/HIV patients from 2004 to 2011 were collected and analyzed statistically using Excel software. Results The total population was more than 330 000 in that county in 2011, a total of 1576 cases of syphilis, gonorrhea, AIDS and HIV- positive cases were reported from 2004 to 2011 the annual average incidence rate was 60.46/100 000, including gonorrhea 19.26/100 000,syphilis 33.30/100 000, AIDS/HIV-positive 7.90/100 000, the average annual mortality was 2.46/100 000,which were the major infectious diseases resulting in death. The ratio of the male patients to female patients was 1.19 ： 1, the patients were distributed among all age groups,towns and occupations, The incidence rate of farmers （ 74.94% ） ranked first. The syphilis and AIDS/HIV-positive cases in recent years showed parallel rise significantly,the ratio of the number of syphilis cases to AIDS/HIV-positive cases was 4.21 ： 1. Conclusion The gonorrhea, syphilis, AIDS/HIV-positive cases in this county increased year by year,AIDS/HIV-positive cases spread from urban to rural, from high-risk groups to the general population,mainly sexually transmitted.There ia a need for further strenthening local prevention and treatment.