249例性病患者流行病学调查分析

目的:了解和掌握新疆博尔塔拉蒙古自治州三年来性病流行特征,以便进一步采取相应预防控制措施。方法:收集博尔塔拉蒙古自治州两县一市249例性病患者报告资料,并通过卡方检验进行统计分析。结果249例性病患者中,男性占72.69%(181/249),女性占27.31%(68/249),男女之比为1∶0.38;21～40岁组发病占61.04%(152/249);职业分布中不详者占49.79%(124/249),无业者占24.49%(61/249);汉族发病121例(占48.59%),蒙古族66例(26.51%);已婚者发病占67.87%(169/249);文盲、小学和初中文化水平感染率为77.51%(193/249)。从时间分布统计分析,除了梅毒从2007年的2例上升到2009年的25例外,淋病、尖锐湿疣、非淋菌性尿道炎三年发病处于下降趋势。来自国外、内地经商的流动人口发病164例,占65.86%,本地户口发病85例(占34.14%)。性病病种的感染状况统计分析:三年尖锐湿疣占26.92%,非淋菌性尿道炎占全部病例的24.89%,淋病占总病例的23.69%,其次是梅毒病例占18.07%,生殖器疱疹只占全部病例的6.43%。结论:根据调查结果看,应进一步加强本地区道德和精神文明建设,加强对低文化流动人口的培训教育,提高公民的自我防护意识。

Epidemiological study on 249 STD patients

Objectives：To understand the epidemic characteristic of STD in Boer Tala Mongolia Autonomous Region in the recent three years, and to provide corresponding prevention and control measures. Methods： Data were collected of 249 patients in two counties and a city in Boer Tala Mongolia Autonomous Region. Chi-square test was used to analyze the data. Results： Among 249 STD patients, males account for 72.69% （181/249）, females 27.31% （68/249）, the gender ratio（male/female） being 1∶0.38; The occurrence rate in age group 21-40 is 61.04%（152/249）. The patients not specifying their occupation accounted for 49.79%（124/249） and unemployed patients took up 24.40% （61/249）; The data include 121 （48.59%）patients from Han ethnic group and 66 cases （26.51%） from Mongolia ethnic group. The STD occurrence rate is 67.87% （169/249） for married patients; and 77.51% （193/249） for illiterate, primary-school-level and middle-school-level patients. Chronological analysis indicated that syphilis occurrence rose from 2 cases in 2007 to 25 cases in 2009, and other STD, such as Gonorrhea, Condyloma acuminate （CA）, and nongonococcal urethritis （NGU）, tend to decline in the past three years. The mobile population took up 164 cases （65.86%） who came from foreign countries or other regions and local people were found to include 85 （34.14%） cases. The STD type analysis showed that CA accounted for 26.92% of all the detected STD patients, NGU 24.89%, Gonorrhea 23.69%, syphilis 18.07%, and genital herpes 6.43%. Conclusion： The survey suggested that sexual health and morality education should be reinforced in this area, especially the education for the mobile population with low education level, to increase the self-protection awareness of the local people.