【摘要】 目的分析2004-2007年浙江省舟山海岛梅毒报告发病监测结果。方法对监测数据用流行病学描述性研究方法进行统计分析。结果舟山海岛2004-2007年累计报告各类梅毒3818例,其中Ⅰ期占30.17%,Ⅱ期占22.86%,Ⅲ期占0.37%,胎传占4.92%,隐性占41.67%。梅毒年均报告发病率为98.62/10万,4年中年均上升率为19.84%,其中隐性梅毒年均增长率达47.65%。海岛地区梅毒发病女性多于男性,病例性比1∶0.87,其发病主要在"20～29岁"、"30～39岁"、"40～49岁"3个年龄段,占报告发病总数的75.72%,其中男性以"30～39岁"段最高28.05%,女性则以"20～29岁"段最高34.48%。早期(Ⅰ期、Ⅱ期)和隐性梅毒的病例年龄分布,女性高峰年龄段均比男性小10岁以上,其中隐性梅毒两性相差20岁左右。梅毒发病职业构成,以家务(政)及待业者最多41.27%,其次是渔(船)民14.60%,尤其是隐性梅毒中渔(船)民占22.12%,对梅毒传播扩散构成潜在威胁。结论梅毒发病流行已成为严重的公共卫生问题,亟需采取综合性防制措施,共同遏制急剧上升态势。更多还原

【Abstract】 Objective To analyze the results of the surveillance of syphilis incidence in Zhoushan islands,Zhejiang province.Methods Surveillance data were analyzed by descriptive epidemiology.Results A total of 3818 syphilis cases were reported accumulatively in Zhoushan islands from 2004 to 2007,of these cases,primary syphilis accounted for 30.17%,secondary syphilis accounted for 22.86%,tertiary syphilis accounted for 0.37%,congenital syphilis accounted for 4.92% and latent syphilis accounted for 41.67%.The reported annual average incidence rate of syphilis was 98.62/lakh with annual average increase of 19.84%,but the annual average increase for latent syphilis only was 47.65%.More cases occurred in women than in men with the sex ratio of 1∶0.87.Most cases occurred in the people of 20-29,30-39 and 40-49 age groups(75.72%),Most male cases occurred in 30-39 age group(28.05%),while most female cases occurred in 20-29 age group(34.48%).For early syphilis(primary and secondary syphilis) and latent syphilis,the incidence of female cases peaked in the age group which was>10 years lower than male,and the difference for latent syphilis only was about 20 years.As for population distribution,the cases in home servants and jobless people accounted for the highest percentage(41.27%),followed by fishermen(14.60%),but the latent syphilis cases in fishermen accounted for 22.12%,which posed potential risk for the spread of syphilis.ConclusionThe syphilis epidemic has become a serious public health problem,which should be taken to stop the serious syphilis epidemic.更多还原