目的 了解芦溪县性传播疾病流行状况,探讨重点防控病种。方法 采用描述性流行病学方法,对芦溪县2009~2018年性传播疾病进行分析。结果 芦溪县2009~2018年五种性传播疾病报告发病2 250例,年均发病率为83.89/10万,报告发病总体上升,梅毒报告病例数占63.78%。上升病种为隐性梅毒与生殖道沙眼衣原体感染,胎传、Ⅰ、Ⅱ、Ⅲ期梅毒及淋病均呈下降。20~50岁人群发病数占58.93%,职业为农民、家务及待业的人群病例数占79.24%。结论 芦溪县性传播疾病发病呈上升趋势,主要以梅毒特别是隐性梅毒为主,性传播疾病防控工作不容乐观。应重点加强梅毒的防控工作。

Objective To understand the epidemic situation of sexually transmitted diseases (STDs) in Luxi County,and to explore the key prevention and control diseases. Methods Descriptive epidemiological method was used to analyze the sexually transmitted diseases from 2009 to 2018 in Luxi County. Results A total of 2 250 cases of five sexually transmitted diseases reported in Luxi County in 2009~2018,with an average annual incidence of 83.89/100 000,the reported incidence increased overall and the number of syphilis reported cases accounted for 63.78%.The ascending diseases were recessive syphilis and genital chlamydial trachomatis infection.Fetal transmission,Ⅰ,Ⅱ,Ⅲ syphilis and gonorrhoea all declined.The incidence among people aged 20-50 accounted for 58.93%,and the number of cases with occupations such as farmers,housework and unemployment accounted for 79.24%. Conclusion The incidence of sexually transmitted diseases in Luxi County was on the rise,mainly syphilis,especially recessive syphilis.The prevention and control of sexually transmitted diseases was not optimistic.Emphasis should be placed on strengthening the prevention and control of syphilis.