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目的通过对浙江省永嘉县2004-2008年梅毒流行特征分析,探讨导致该县5年来梅毒报告发病率大幅增长的因素。方法利用传染病监测系统导出永嘉县2004年1月1日至2008年12月31日梅毒数据资料,使用Excel软件进行数据整理,运用SPSS软件进行统计分析。结果5年来永嘉县梅毒报告发病率呈上升趋势,以早期梅毒和隐性梅毒为主,占95.61%,其中Ⅰ期梅毒发病最高,占51.16%,且逐年上升。职业以农民和民工为主;已婚者占77.35%;传染途径主要是非婚性接触。结论永嘉县梅毒发病趋势不容乐观,应加强宣传培训和监测工作,采取有针对性的预防措施,有效控制梅毒流行。
Objective To analyze the epidemiological characteristics of syphilis in Yongjia County, Zhejiang Province from 2004 to 2008, and to explore the factors that led to the substantial increase in the incidence of syphilis in the county in the past five years. Methods The infectious disease surveillance system was used to derive the data of syphilis from January 1, 2004 to December 31, 2008 in Yongjia County. The data of the syphilis were collected using Excel software and analyzed by SPSS software. Results The prevalence of syphilis in Yongjia County was on an upward trend in the past five years, with 95.61% of early syphilis and latent syphilis, of which Ⅰ syphilis had the highest incidence (51.16%) and increased year by year. Occupation mainly farmers and migrant workers; married accounted for 77.35%; the main route of transmission is non-marital contact. Conclusion The trend of syphilis incidence in Yongjia County is not optimistic. Publicity, training and monitoring should be strengthened. Targeted preventive measures should be taken to effectively control the prevalence of syphilis.