江苏省2004~2008年梅毒流行病学分析及防治策略研究

目的:了解江苏省2004~2008年梅毒的流行病学特征,为以后制定梅毒及其他性传播疾病的防治策略提供科学依据?方法:收集全省各省辖市通过中国疾病预防控制信息系统报告的梅毒疫情资料进行统计学分析?结果:近5年来,江苏省梅毒发病率快速增长,年发病率从2004年的10.59/10万增长到2008年的28.76/10万,年平均增长速度为28.42%;报告病例数的年平均增长速度是28.68%;在上报的梅毒病例中,以早期显性(一?二期)梅毒为主,占69.75%,各期梅毒报告病例数均逐年增加,各年度梅毒病例分期之间有极显著差异(P < 0.000 1)?男女性别比为1.11∶1,各年度梅毒病例性别之间差异有显著性;发病年龄集中在20~39岁年龄组,占51.55%;全省报告梅毒病例数集中在经济较为发达的苏南地区?结论:江苏省梅毒发病率正处于快速增长阶段,应进一步加强性病艾滋病综合防治措施,规范梅毒诊治,从而控制梅毒的快速流行?

Analysis on epidemiology of syphilis in Jiangsu province from 2004 to 2008 and strategy for syphilis control

Objective:To investigate the epidemiologic characteristics of syphilis in Jiangsu province from 2004 to 2008 and to provide scientific reference for further control of the disease. Methods:Syphilis cases reported in China Information System for Disease Control and Prevention in Jiangsu province were collected and the data were analyzed epidemiologically. Results:The incidence rate of syphilis increased rapidly in Jiangsu province from 10.59 per 100 000 residents in 2004 to 28.68 per 100 000 residents in 2008,and the average annual increase of incidence rate and reported case of syphilis were 28.42% and 28.68% in recent 5 years,respectively;primary and secondary syphilis cases were 69.75% in all syphilis cases;most patients were 20~39 years old,which accounted for 51.55%;the majority of syphilis cases were reported in the south of Jiangsu province. Conclusion:The syphilis epidemiology in Jiangsu province is increasing rapidly,and a series of measurements on strengthening the prevention and cure on STD and HIV, and standarization treatment of syphilis must be taken to control the prevalence of syphilis.