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琼山人民医院238例淋病患者的相关因素分析

Survey of 238 gonorrhea patients
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摘要 目的揭示不利于淋病防治工作的潜在因素,为制定性病的预防控制措施提供依据。方法对近5年诊治的238例淋病患者的一般情况、传染源、就诊原因、防病行为特征等进行针对性调查,并对调查结果进行统计、分析。结果2002-2006年淋病患者在性传播病中的构成比分别为31.9%(59/185)、29.0%(53/183)、26.0%(56/215)、19.5%(38/195)、18.8%(32/170)。20-39岁年龄段的患病率最高(172例)占72.3%;职业分布比例最高的是外来务工人员等流动人口(92例)占38.7%。通过性接触传染的为(223例)93.7%;因出现症状就诊的为80.9%(男)和63.9%(女),由于怀疑感染而就诊的为15.6%(男)和36.1%(女)。94.1%的患者在未感染淋病以前从未使用过避孕套,在本次感染(或怀疑感染)之后,使用避孕套以防性病传播的患者为20.1%(男)和43.3%(女)。结论琼山人民医院近5年淋病患者在性传播病中的构成比呈逐年下降趋势,但是患病人数的绝对值仍较高,因此淋病的防治工作仍不容乐观。缺乏监督约束的外来流动人口、性伦理道德的缺失、以及淋病患者对性病的疏于防范,是不利于淋病治疗的潜在因素。 Objective To disclose the factors potentially assoicated with control of gonngrrhea and provde scitific basis for making control measures. Methods The characteristics, including general conditions, source of infeciton, medicine - seeking behaviors, etc. of 238 gonorrhea patients treated in Qionshan District Hospital in the last five years were analyzed. Results The constituent ratio of gonorrhea patients in STDs from 2003 - 2006 were 31.9% (59/185) ,29.0% (53/183) ,26.0% (56/215), 19. 5% (38/195),18.8% (32/170),respectively. 72.3% (172 cases) of the infection occurred to the age group of 20- 39 years and 38.7% of the infections were in mobile population from outside (92 cases). 93.7% (223 eases) of the patients acquired the infection through sexual contact. 80.9% and 63.9% of the male and female patients were diagnosed after appearance of clinical symptoms, while 15.6 % of the male patients and 36,1% of the female patients were diagnosed due to suspected infection. 94.1% of the patients never used condoms before acquired infection. 20.1% male patients and 43.3% female patients did used condoms after being infected or suspected of being infected with gonorrhea. Conclusion The constituent ratios of gonorrhea patients in STDs shows a decreasing tendency. But the infection rate still high and control work be strengthened including management of mobile population, health education on ethics and, potential risk factors, etc.
出处 《中国热带医学》 CAS 2007年第6期1032-1033,共2页 China Tropical Medicine
关键词 淋病 传染源 求医原因 防病行为 Gonorrhea Source of infection Medicine - seeking behavior
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