中华皮肤科杂志 ›› 2004, Vol. 37 ›› Issue (9): 519-521.

• 论著 • 上一篇    下一篇

100对夫妻间梅毒发病情况分析

何志新, 王宏伟   

  1. 中国医学科学院、中国协和医科大学北京协和医院皮肤科, 北京100730
  • 收稿日期:2003-09-11 出版日期:2004-09-15 发布日期:2004-09-15

Syphilis in 100 Married Couples

HE Zhi-xin, WANG Hong-wei   

  1. Department of Dermatology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2003-09-11 Online:2004-09-15 Published:2004-09-15

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摘要： 目的 了解梅毒在夫妻间的发病情况,探讨近年来梅毒发病率急剧升高的有关原因。方法 对100例首诊为梅毒的患者及其配偶100例的临床资料进行分析。结果 夫妻同患梅毒65对(130例),占65%。其中男性首诊患者25例,主要为一期梅毒。女性首诊患者40例,主要为二期梅毒。65对夫妻同患梅毒中,在夫妻一方首诊为梅毒后,有48例的配偶同时追踪被诊断为梅毒,其余17例同时追踪时未发现梅毒,在追踪1~3个月后才被诊断。配偶被追踪而诊断的梅毒中主要为潜伏梅毒,占83.2%(54/65)。此外,能引起患者注意的硬下疳发生率较低,只有28.5%(37/130),多见于男性。结论 夫妻同患梅毒的比例较高。潜伏梅毒发生率较高。能引起注意的硬下疳发生率较低。这些因素是梅毒较其他性传播疾病更易于传播的主要原因。

关键词: 梅毒, 接触追踪

Abstract: Objective To uncover the possible factors of rapid increasing incidence of syphilis. Methods The clinical data of 100 patients firstly diagnosed as syphilis and their spouses were analyzed. Results There were 65 couples (130 cases) both were infected with syphilis, accounting for 65%. Among these cases, 25 males firstly diagnosed, 15 of them were primary syphilis; and 40 females firstly diagnosed as syphilis, 32 of them were secondary syphilis. Among 65 syphilis couples, 48 spouses were quickly diagnosed as syphilis through contact tracing, but the other 17 spouses were not diagnosed as syphilis until 1~3 months later, and most of them were latent syphilis, accounting for 83.2%(54/65). Chancre, which may be noticed by the patients themselves, was not so common in this group of patients, accounted for only 28.5%(37/130), and mainly in males. Conclusions The infections rate of syphilis between spoused is high, especially latent syphilis, and chancre is low, which might be one of the factors for the rapid spreading of the disease.

Key words: Syphilis, Contact tracing