自90年代末，尤其是从1993年开始，全国梅毒病例报告数.docVIP

梅毒归口管治患者性伴通知效果分析 周国茂1 李真1 杨坚真1 马剑平1 冯铁建2 洪福昌2 杨帆2 彭绩2 1深圳市南山区慢性病防治院 广东 深圳 518054，2深圳市慢性病防治中心 广东 深圳 518020 摘要： 目的 通过实施梅毒归口管治，实施引导策略，探索梅毒性伴通知方法。方法 实施辖区全人口梅毒患者归口管治，通过引导策略实施性伴通知，了解性伴通知效果。结果 共归口管治梅毒患者229例，提供性伴信息655名，51.09％的梅毒患者有多性伴情况，男性患者和女性有多性伴情况有显著性差异（ ＝90.302，p＝0.000）。性伴通知到位率49.66%，不同类别性伴的通知到位率差异具有统计学意义（=63.373,p=0.000）。结论 实施梅毒归口管治，并通过引导策略，提高患者性伴通知的依从性，能有效控制潜在传染源。 关键词：梅毒 归口管治 性伴通知 The Effect on Partner Notification of Syphilis Patients through Covergence Case-management Zhou guomao, Li zhen, Yan jianzhen, Ma jianping (Shenzhen Nanshan Centre for Chronic Disease Control, Guangdong Province, China, 518054), Fen tiejian, Hong fuchang, Yang fan, Peng ji (Shenzhen Centre for Chronic Disease Control, Guangdong Province, China, 518020) Abstract Objective: To explore the effect on partner notification of syphilis patients of covergence case-management. Methods: To administer all syphlilis patients in the whole population in Nanshan district, notify sex partner detection through guidance strategy, and analyse the effect on parnter notification. Results: There was 229 syphilis patients received covergence case-management. The patients provided informations of 655 sex partner. 51.09% of these patien had 2 or more sex partner,and there was significant difference between different gender patient ( ＝90.302，p＝0.000) The rate was 49.66% of notified sex partner and successful detection on syphilis, there was also a significant difference between different sorts of sex partner of successful detection（=63.373,p=0.000）. Conclusion: The model of covergence case-management of syphilis and caryying out guidance strategy could improve compliance on partner notification significantly, and also control the sources of syphilis infection effectively. Keywords: syphilis; Covergence case-management; Partner notification 近十年间，中国梅毒病例报告数和发病率出现了大幅度的增长,年均增长14.3%采用Epidata3.1软件进行独立双录入建立数据库，SPSS 15.0进行数据处理采用检验 ＝90.302，p＝0.000）。 2.3 性伴通知结果 655名性伴中配偶156例，固定性伴136例、临时性伴261例、MSM性伴85例。性伴通知成功率