某市出入境人员梅毒血清学监测及流行状况调查

发布时间：2018-05-13 09:12

本文选题：梅毒 + 血清学监测　；参考：《吉林大学》2011年硕士论文

【摘要】：梅毒(syphilis)是梅毒螺旋体(Treponema pallidum, TP)引起的一种慢性系统性疾病,在《中华人民共和国传染病防治法》中列为乙类防治管理的病种,是国境口岸卫生检疫重点监测控制的传染病之一。近年来,全国梅毒报告病例数明显增加,流行呈现快速上升趋势。然而,对出入境人员梅毒监测调查研究资料还欠缺。因此加强出入境人员梅毒的监测范围和监测力度,对防止梅毒传入和传出、阻断其传播和蔓延十分必要。目的:通过对吉林市2008-2010年出入境人员梅毒监测结果的分析,了解吉林市出入境人群梅毒感染情况,以便监测梅毒感染人群动态,为口岸梅毒监测和预防控制提供依据。方法:本研究资料来自吉林市2008-2010年出入境人员健康体检梅毒感染者登记资料。对受检者血清样本采取甲苯胺红不加热血清试验(TRUST)和梅毒螺旋体抗体血凝实验法(TPPA)进行梅毒血清学检测。数据采用SPSS 12.0统计软件进行统计学分析,采用χ2检验对分类变量各组间分布差异进行检验。结果:2008-2010年吉林市出入境人员梅毒感染率为0.82%,明显高于全国口岸平均水平0.24%。梅毒感染者中男性多于女性,男女比例约为3.34:1,男女梅毒感染水平有显著差异(P㩳0.01),女性的检出率显著高于男性;介于31-50岁的青壮年感染者构成比为79.56%;外籍人员梅毒感染率较往年显著增高。职业分布以中籍出境劳务人员和外籍入境商务人员检出率最高;地区分布以外籍人员检出率最高,吉林市本市构成比最高。结论:吉林市出入境人员梅毒检出率明显高于全国口岸平均水平。梅毒感染者男性多于女性,中籍出境劳务人员和外籍入境商务人员检出率最高。今后应加强对出境劳务人员和入境商务人员的重点监测,积极做好梅毒防治宣传工作和咨询工作,提高出入境人员的防病意识,防止梅毒通过国境口岸传入传出。
[Abstract]:Syphilis is a kind of chronic systemic disease caused by Treponema pallium (TP). It is listed in the Law of the people's Republic of China on the Prevention and Control of Infectious Diseases, and it is one of the infectious diseases under the key surveillance and control of the frontier port health quarantine. In recent years, the number of syphilis reported cases increased significantly, and the prevalence of syphilis increased rapidly. However, syphilis surveillance investigation and research data of entry-exit personnel are still lacking. Therefore, it is necessary to strengthen the surveillance scope and intensity of syphilis in entry-exit personnel to prevent the transmission and spread of syphilis. Objective: by analyzing the syphilis surveillance results of entry-exit personnel in Jilin City from 2008 to 2010, we can understand the syphilis infection in the entry-exit population of Jilin City, so as to monitor the dynamics of syphilis infection population and provide the basis for syphilis surveillance and prevention and control at port. Methods: the data of this study were collected from the registration data of syphilis infection among entry-exit personnel in Jilin city from 2008 to 2010. The serum samples of subjects were tested for syphilis by toluidine red unheated serum test (trust) and Treponema pallidum hemagglutination test (TPPA). The data were analyzed by SPSS 12.0 statistical software and 蠂 2 test was used to test the distribution difference of the classified variables among groups. Results the syphilis infection rate of entry-exit people in Jilin City from 2008 to 2010 was 0.82, which was significantly higher than the average level of 0.24 in the whole country. The rate of syphilis infection in male was higher than that in female, and the ratio of male to female was about 3.34: 1. There was significant difference in syphilis infection level between male and female. The detection rate of syphilis in female was significantly higher than that in male. The proportion of infected persons aged between 31 and 50 was 79.56, and the infection rate of syphilis among foreigners was significantly higher than that in previous years. The rate of occupation distribution is the highest for Chinese emigrants and foreign business people, the highest is for expatriates, and the highest is for Jilin city. Conclusion: the detection rate of syphilis among entry-exit personnel in Jilin City is obviously higher than the national average level. The prevalence of syphilis infection was higher in male than in female. In the future, it is necessary to strengthen the monitoring of outbound labor service personnel and inbound business personnel, actively do the propaganda and consultation work on syphilis prevention and cure, improve the consciousness of prevention and cure of disease among the entry-exit personnel, and prevent syphilis from spreading through the border port.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R759.1

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