宁夏医科大学总医院5年间住院病人梅毒血清学检查调查分析

发布时间：2018-04-24 16:42

本文选题：住院病人 + 梅毒血清学　；参考：《宁夏医科大学》2012年硕士论文

【摘要】：目的了解宁夏医科大学总医院2006-2010年住院患者梅毒的流行特征，探讨我院梅毒感染的总体情况及变化趋势。方法收集2006－2010年我院住院诊断为梅毒的635例患者的临床资料，对5年来住院诊断为梅毒的梅毒感染类型、年龄、性别、职业、婚姻、地域以及所在科室的分布情况进行调查和分析。结果2006-2010年院内住院梅毒的流行特征： 1.隐性梅毒450例（72.1%），显性梅毒171例（26.9%）神经梅毒8例（1.26%）先天梅毒7例（1.1%）;梅毒检出率2006年为1．08%，2010年上升为2．11%;呈逐年上升趋势。 2.男302例，女333例，男女比例1∶1.1;潜伏梅毒主要发生在30-60岁年龄段，共检出450例，显性梅毒20-60岁年龄段多发，共检出171例,神经性梅毒可发生于各年龄段，小于1岁的7例均为先天性梅毒患者; 3.民族分布中汉族528例，占83.2%，回族84例，占13.2%。 4.职业分布以农民、无业、退休为主。已婚612人，占96.4%， 5.梅毒广泛分布于各个科室，但不同类型梅毒主要分布科室有一定差异,其中隐性梅毒分布于外科、内科、妇科、产科、皮肤科、感染科等科室，显性梅毒则主要见于外科、内科、皮肤科和妇科。神经性梅毒主要分布于神经科；先天性梅毒主要分布在儿科。结论住院患者中梅毒检出率逐年上升，隐性梅毒的隐蔽性较大，危害性强,分布较广，患病率呈逐年上升的趋势，，梅毒阳性的患者几乎覆盖了所有科室和所有年龄段，因此，住院病人进行梅毒普查是至关重要。
[Abstract]:Objective to understand the epidemiological characteristics of syphilis in general hospital of Ningxia Medical University in 2006-2010, and to explore the general situation and trend of syphilis infection in our hospital.
Methods the clinical data of 635 patients with syphilis in 2006-2010 years in our hospital were collected, and the types of syphilis infection, age, sex, occupation, marriage, region and the distribution of the Department were investigated and analyzed in the hospital for the past 5 years.
Results the epidemiological characteristics of syphilis in hospital during 2006-2010 were:
1. recessive syphilis (72.1%), 171 cases of dominant syphilis (26.9%), 8 cases of neurosyphilis (1.26%) and 7 cases of congenital syphilis (1.1%). The detection rate of syphilis was 1.08% in 2006 and 2.11% in 2010, and it showed an increasing trend year by year.
2. men and 302 women, 333 women, 1: 1.1 for men and women; latent syphilis occurred mainly in 30-60 years old, 450 cases were detected, and more than 20-60 years of age of dominant syphilis, 171 cases were detected. Neurosyphilis occurred in all ages, and 7 cases less than 1 years old were congenital syphilis patients.
3. ethnic distribution in Han nationality 528 cases, accounting for 83.2%, Hui 84 cases, accounting for 13.2%.
4. occupations were mainly farmers, unemployed and retired. Married 612 people accounted for 96.4%.
5. syphilis is widely distributed in various departments, but there are some differences in the main distribution departments of different types of syphilis. The recessive syphilis is distributed in surgery, internal medicine, gynecology, obstetrics, Department of Dermatology, infectious department and other departments. Dominant syphilis is mainly seen in surgery, internal medicine, Department of Dermatology and gynecology. Neurosyphilis mainly distributes in the neurology department; the main congenital syphilis is congenital syphilis It is distributed in pediatrics.
Conclusion the detection rate of syphilis in hospitalized patients is increasing year by year, the concealment of recessive syphilis is large, the danger is strong, the distribution is wide, the prevalence rate is increasing year by year, and the patients with positive syphilis almost cover all sections and all ages. Therefore, it is very important for the hospitalized patients to carry out the syphilis examination.

【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R759.1

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