【摘要】：目的核查并分析梅毒報(bào)告病例的實(shí)驗(yàn)室檢查結(jié)果,為客觀分析廣州市梅毒疫情并制定下一步的梅毒防治措施提供依據(jù)。方法設(shè)制統(tǒng)一的核查表,從大疫情網(wǎng)下載廣州市2012年報(bào)告的梅毒病例,根據(jù)歷年梅毒流行特征,按隱性∶一期∶二期∶其他=5∶2∶2∶1的比例抽樣,通過(guò)現(xiàn)場(chǎng)調(diào)查進(jìn)行核查,資料統(tǒng)一錄入數(shù)據(jù)庫(kù),用SPSS19.0軟件分析。結(jié)果共核查2 402例梅毒,報(bào)告率為31.47%,其中RPR和TPPA雙陽(yáng)性者占58.49%,TPPA單陽(yáng)性者占8.12%,RPR單陽(yáng)性者占16.28%,僅TP-ELISA等篩查單陽(yáng)性者占4.58%,4.50%病例為臨床報(bào)告。在RPR和TPPA雙陽(yáng)性的報(bào)告病例中,未行RPR定量檢測(cè)的占12.95%;已檢測(cè)的RPR滴度中,二期梅毒RPR≥1:16者占61.07%,而隱性梅毒和胎傳梅毒RPR≤1∶8者分別占82.21%和78.79%。結(jié)論廣州市網(wǎng)絡(luò)直報(bào)梅毒存在不合理診斷和報(bào)告,要加強(qiáng)梅毒網(wǎng)絡(luò)疫情報(bào)告質(zhì)量管理,加強(qiáng)臨床醫(yī)生對(duì)梅毒診斷,尤其是實(shí)驗(yàn)室檢查項(xiàng)目規(guī)范利用的培訓(xùn),提高梅毒報(bào)告質(zhì)量。
[Abstract]:Objective to verify and analyze the results of laboratory examination of syphilis reported cases in order to provide the basis for the objective analysis of syphilis epidemic situation in Guangzhou and the establishment of the next syphilis prevention and treatment measures. Methods A unified check table was set up to download the syphilis cases reported from Guangzhou in 2012. According to the epidemic characteristics of syphilis in the past years, according to the recessive: 1: 2: 2: other 5: 2: 2: 1 proportional sampling, The data were recorded into the database through field investigation and analyzed by SPSS 19.0 software. Results A total of 2 402 cases of syphilis were examined and the reported rate was 31.47. The positive rate of RPR and TPPA was 58.499.The positive rate of RPR and TPPA was 8.12 and RPR was 16.28, and only 4.58% of the patients were positive by TP-ELISA and 4.50% of the cases were clinical reports. Among the reported cases with both positive RPR and TPPA, 12.95% did not undergo RPR quantification, and 61.07% had secondary syphilis RPR 鈮，

本文編號(hào)：2119274