综合医院梅毒患者的调查与分析

目的调查我院1998～2002年间住院患者中梅毒的存在现状并探讨其流行病学特征. 方法对我院1998年1月～2002年12月间住院患者中梅毒患者病历资料进行统计分析. 结果发现128例梅毒患者中有后天显性梅毒31例、先天梅毒14例、后天潜伏梅毒82例、先天性潜伏梅毒1例;住院患者中梅毒患病人数逐年增多;后天显性梅毒在20～40岁年龄段患病人数明显多于其他年龄段,而后天潜伏梅毒在20～50岁年龄段患病人数较其他年龄段多;先天梅毒主要分布于儿科,显性梅毒分布于皮肤科,而潜伏梅毒则分布于外科、妇产科等7个科室. 结论住院患者中梅毒患病率呈逐年上升趋势,其中潜伏梅毒尤为明显,且其高发年龄段与显性梅毒并不完全相同;潜伏梅毒在住院患者中分布较广;因此,对存在高危因素的住院患者进行常规梅毒筛查试验是及早发现潜伏梅毒并防止其传播的有效防治措施之一.

Syphilis among Inpatients:An Investigation and Analysis

OBJECTIVE To investigate the current situation of syphilis and understand its epidemiological features among inpatients in our hospital from 1998 to 2002. METHODS During the period of Jan 1998 to Dec 2002, all case-data of inpatients with syphilis were analyzed with epidemiological methods. RESULTS There were 31 acquired dominant syphilis cases, 14 with congenital syphilis, 82 with acquired latent syphilis, and 1 congenital latent syphilis cases among 128 inpatients with syphilis. The case number of syphilis steadily increased year by year. Numbers of patients with acquired dominant syphilis in the range of 20-40 years old were more than that in other age ranges. Numbers of patients with acquired latent syphilis in the range of 20-50 years old were more than that in other age ranges. Congenital syphilis was mainly found in the Department of Pediatrics, acquired dominant syphilis in the Department of Dermatology, latent syphilis in the Department of Surgery, and the Departme nt of Gynecology and Obstetrics, etc. CONCLUSIONS The incidence of syphilis is increasing in recent years and it is obvious in latent syphilis group. The high incidence age range of latent syphilis is partly identical to that of dominant one. Patients with latent syphilis could be seen among inpatients of most departments. So, a routine syphilis screening among inpatients, especially those at high risk, is one of the most effective precautionary measures to discover latent syphilis and to check its spread as soon as possible.