摘要
目的了解老年梅毒患者的临床特征，为改进梅毒防治策略提供科学依据。方法回顾性分析2008—2012年本科性病门诊初次诊治的155例年龄≥60岁老年梅毒患者的临床资料。结果检出老年梅毒患者155例，男性居多，为101例，女性54例。患者整体文化程度低。年龄分布以印～74岁年龄组的老年人为主。梅毒分期以隐性梅毒居多。一期梅毒以男性居多，占90．00％，三期梅毒2例，均为神经梅毒。男性患者多有非婚性接触史，女性以配偶传播为主。一期梅毒男性患者多初诊为皮肤科和泌尿科门诊，女性患者3例，均初诊于妇科门诊。二期患者多初诊于皮肤科门诊。2例三期梅毒均来自病房。而隐性梅毒多数来源于病房梅毒血清筛查。未检测出HIV感染。所有老年梅毒患者均未采用安全防护措施。结论老年梅毒患者持续增多，性健康意识薄弱。应不断加强老年人性健康教育、提倡避孕套使用、主动进行性病监测，这对于老年梅毒／艾滋病防治至关重要。
Objective To understand the clinical characteristics of aged patients with syphilis and to provide scientific evidence for improving syphilis control strategies. Methods The clinical data of 155 aged patients diagnosed and treated as syphilis firstly in STD clinic from year 2008 to 2012 ,who were at least 60 years old,were ana- lyzed retrospectively. Results There were 155 aged patients diagnosed as syphilis,male 101 ,female 54. The overall educational level was low. Most aged patients with age 60 ～ 74 accounted for 83.23% with 129 cases. Latent syphilis ranked first. Primary syphilis often occurred to males, accounting for 90.00% in all the cases of primary syphilis. Only 2 cases were diagnosed as tertiary syphilis characterized by neurosyphilis. 79.21% of the male patients had a history of extramarital intercourse ,while 88.89% of the female patients got syphilis from their spouses. The source of patients showed that 27 aged male patients with primary syphilis mostly came from dermatology and urology clinic, while all the 3 aged female patients with primary syphilis came from obstetrics clinic. Patients with secondary syphilis were composed of 13 male patients and 16 female patients,who were willing to visit dermatologic clinic first. Two cases with tertiary syphilis all came from wards and the patients with latent syphilis mostly came from the wards too. None of patients was co-infected with HIV. All the patients denied having a safe intercourse. Conclusion The population of aged patients with syphilis grew up steadily. Sexual health awareness is weak in this crowd. So it is crucial for prophylaxis and treatment of syphilis and AIDS to strengthen sexual health education and promote condom use, keep active surveillance on STD in aged people.
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2015年第1期58-60,共3页
The Chinese Journal of Dermatovenereology
关键词
老年
梅毒
性传播疾病
艾滋病
Aged
Syphilis
Sexually transmitted diseases
Acquired immunodeficiency syndrome
