【摘要】：目的核查并分析梅毒報告病例的實驗室檢查結果,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)。方法設制統(tǒng)一的核查表,從大疫情網下載廣州市2012年報告的梅毒病例,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,通過現(xiàn)場調查進行核查,資料統(tǒng)一錄入數(shù)據(jù)庫,用SPSS19.0軟件分析。結果共核查2 402例梅毒,報告率為31.47%,其中RPR和TPPA雙陽性者占58.49%,TPPA單陽性者占8.12%,RPR單陽性者占16.28%,僅TP-ELISA等篩查單陽性者占4.58%,4.50%病例為臨床報告。在RPR和TPPA雙陽性的報告病例中,未行RPR定量檢測的占12.95%;已檢測的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%。結論廣州市網絡直報梅毒存在不合理診斷和報告,要加強梅毒網絡疫情報告質量管理,加強臨床醫(yī)生對梅毒診斷,尤其是實驗室檢查項目規(guī)范利用的培訓,提高梅毒報告質量。
[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，

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