CAJ | 학술논문

目的：了解武汉市梅毒疫情的流行趋势和特点,为今后制定梅毒防治措施提供科学依据。方法对武汉市2009-2013年乙类法定传染病中的梅毒疫情资料进行分析。结果武汉市2009-2013年共报告梅毒14275例,年均发病率为31.56/10万,发病率最高为2010年(36.66/10万),发病率呈缓慢下降趋势,年均下降6.19%。梅毒分期以隐性梅毒为主,占39.49%,且有逐年上升趋势；性别比为1.01：1,男女之间发病率差异无统计学意义；年龄段主要集中在20~49岁(66.88%)；职业以家务及待业者和不详为主。结论武汉市梅毒疫情自2010年起已遏制了上升势头,处于缓慢下降阶段,但隐性梅毒报告数在逐年上升。今后需调整梅毒防治方向,规范医疗机构梅毒诊疗服务,加强梅毒患者的早期检查、早期诊断和早期治疗。
목적：료해무한시매독역정적류행추세화특점,위금후제정매독방치조시제공과학의거。방법대무한시2009-2013년을류법정전염병중적매독역정자료진행분석。결과무한시2009-2013년공보고매독14275례,년균발병솔위31.56/10만,발병솔최고위2010년(36.66/10만),발병솔정완만하강추세,년균하강6.19%。매독분기이은성매독위주,점39.49%,차유축년상승추세；성별비위1.01：1,남녀지간발병솔차이무통계학의의；년령단주요집중재20~49세(66.88%)；직업이가무급대업자화불상위주。결론무한시매독역정자2010년기이알제료상승세두,처우완만하강계단,단은성매독보고수재축년상승。금후수조정매독방치방향,규범의료궤구매독진료복무,가강매독환자적조기검사、조기진단화조기치료。
Objectives To acquaint the epidemic trend and characteristics of syphilis in Wuhan city and provide scien-tific basis for syphilis prevention and control in the future.Methods Analyzed epidemic situation data of syphilis among cat-egory B infectious disease from 2009 to 2013 in Wuhan city.Results 14 275 cases of syphilis have been reported from 2009 to 2013 in Wuhan city,annual incidence is 31.56/100 000,the highest incidence is in 2010 (36.66/100 000),incidence of syphilis have entered in a slow downtrend and fall down on average by 6.1 9% year by year.Latent syphilis is in majority by staging which account for 39.49%,and shows an increasing trend;Sex ratio is 1.01:1,the incidence between men and women is not obvious different;20 to 49 years old are in majority by age (66.88%);unemployed and unknown was in majority by professional.Conclusions Epidemic situation of syphilis in Wuhan has been slow-down the rise since 2010 and enters the stage of slow decline.But the mount of latent syphilis is rising year by year. The direction of syphilis prevention and control need to be adjusted in the future,normalize the diagnosis and treat-ment service of syphilis in medical establishments,strengthen early detection,early diagnosis and early treatment of syphilis patients.