湖北口岸1996～2002年梅毒血清学

    监测结果分析

    罗光前 何晓敏 罗一红 湖北出入境检验检疫局(430060)

    摘要 目的 了解湖北口岸梅毒感染在人群中的分布情况 ,防止其传染与蔓延。方法 1996

    ～2002年在湖北口岸进行传染病监测体检中 ,经血清学 RPR(USR)及 TPPA(TPHA)方法检测发现梅

    毒感染者。结果 7年中共血检73679人 ,检出梅毒感染者242例 ,感染率为32187万 ,年龄最小为

    17岁女性 ,最大为78岁男性。男性中30～49岁年龄组的感染最高占58133 % ,女性中 20～39 岁年

    龄组的感染最高占89155 % ,涉外婚前检查梅毒感染率为 88130万。梅毒感染以低文化水平(初中

    以下)为高 ,占66112 %;职业中以打工、经商为高 ,分别为 45186 %和 20166 %。结论 梅毒感染与

    人群文化素质、职业有关。性乱则是导致感染与传播的主要原因。男性感染者趋于高年龄组、女性

    感染者趋于低年龄组这一现象值得注意。

    关键词 梅毒 出入境人员 涉外婚检

    Abstract Objective To understand the distribution of syphilis infection among inter - national passen 2

    gers and prevent its infection and spread. Method In surveillance of infec - tious diseases at Hubei port in

    1996～2002 , persons are found to be infected with syphilis by serologic tests of RPR (USR) and TPPA

    (TPHA) . Results 242 cases were found to be infected with syphilis in these seven years with a po - sitive

    rate of 32. 87 10000(242 73679) . The youngest infevted is a 17 years old female and the oldest is a 78 years

    old male. In male the infected is a 17 years old female and the oldest is a 78 years old male. Inmale the infec 2

    tion of 30～49 years old are highest (58. 33 %) and in female the infection of 20～39 years old are highest (89.

    55 %) . The infection rate of marriager with foreigner is 88. 30 10000. The infection rate of low educational lev 2

    el (before junior high school) is higher (66. 12 %) and casual laborer and businessman are also found to have a

    higher infection proportion of 45. 86 % and 20. 66 %. Conclusion The risk of syphilis infection was associated

    with low educational wevel and occupation. The promioscuous sexual relation may be the main reason to cause

    the infection and spread of syphilis. The phenomena that the male infection is in old - aged group and female

    infection is in young - aged group is worth to be concerned.

    Key words Syphilis International Passengers Physical exam of marriager with foreigner

    近年来随着改革开放的不断深入 ,各地经济的

    不断发展 ,异地工作的机会不断增加 ,流动人口和涉

    外婚姻也逐年增多 ,性病的传播与之有着密切的关

    系。梅毒是一种由梅毒螺旋体引起的性传播疾病 ,对人体危害极大。现将湖北口岸 1996～2002 年对

    73679名出入境有关人员进行梅毒血清学检测 ,发

    现梅毒感染者242例 ,报告如下:

    1 材料与方法

    111 检测对象

    各类出入境人员以及涉外、涉港、澳台婚姻人

    员。

    112 检测方法

    11211 初筛试验 以检测对象的静脉血血清 ,采用

    快速血清反应素(RPR)试验进行初筛(1997 年以前

    · 62 · 口 岸 卫 生 控 制

    PORT HEALTH CONTROL

    第8卷 第3期

    Vol . 8 No. 3

    为USR) ......