天津市2010-2015年梅毒和淋病病例报告及诊疗情况分析

摘要

Objectives:To understand the clinic data and case report of syphilis and gonorrhea in Tianjin in order to provide references for the prevention of sexually transmitted diseases (STD).Methods:Data of syphilis and gonorrhea cases reported from 2010 to 2015 in Tianjin were downloaded.The laboratory test results of syphilis and gonorrhea from 2010 to 2015 and the treatment of syphilis in 2015 in 49 medical organizations were collected with the method of questionnaire survey.All the data were analyzed by SPSS1 1.5.Results:Reported cases of syphilis and gonorrhea in Tianjin from 2010 to 2015 presented earlier increase and later decrease trend.The proportions of latent syphilis increased gradually.All the 49 medical organizations carried out two types of syphilis serologic detection and the launching rate of neisseria gonorrhea test was 83.67％,while only 12 medical organizations (24.49％) had benzathine penicillin.Conclusion:The quality of STD report in Tianjin is at a relatively high level at present,so the laboratory testing of neisseria gonorrhoeae and the standardized diagnosis and treatment of syphilis urgently needs to be strengthened.%目的:了解天津市梅毒和淋病病例报告及诊疗情况,为制定有效控制对策提供依据.方法:下载2010-2015年天津市梅毒和淋病病例报告资料,采用问卷调查的方式收集49家医疗机构梅毒和淋病检测筛查情况及2015年梅毒治疗情况.采用SPSS 11.5软件进行数据分析.结果:2010-2015年间天津市梅毒和淋病疫情呈现先上升后下降的趋势,隐性梅毒构成比逐年上升;调查的49家医疗机构中均开展了梅毒两类血清学检测,淋球菌检测开展率83.67％;49家医疗机构中只有12家(24.49％)配备苄星青霉素.结论:目前天津市性病病例报告质量较高,淋球菌的实验室检测以及梅毒的规范化诊疗有待亟需加强.