5436 例性病门诊患者流行病学调查及心理状况分析

目的:调查本地区5436例性病(STD)门诊患者流行病学特征,并对患者心理状况进行分析。方法:对2012年1月~2014年12月本地区3家医院性病门诊5436例患者(观察组)的5种生殖器疱疹(GH)、生殖道衣原体感染(GCI)、尖锐湿疣(CA)、淋病(GU)、梅毒(SYP)常见性传播疾病的基本情况、流行病学特征进行记录分析。采用自制心理测评量表对其中250例STD患者的心理状况进行评估,并与250例同期门诊治疗的一般感冒患者(对照组)进行比较。结果:2012~2014年门诊5种常见STD患者就诊人数呈上升趋势,以GU下降最为明显,GCI逐渐上升较为明显;STD患者发病主要集中于26~35岁,以司机、低学历及未婚人群居多。心理测评结果显示,STD患者的抑郁、焦虑、回避治疗、性欲障碍等因子分均高于对照组,差异有统计学意义(P0.05);交往障碍、社会攻击等因子分与对照组比较差异无统计学意义(P0.05)。结论:本地区STD患病以性活跃年龄人群、司机、学历低及未婚人群为主,临床上治疗性病的同时,应重视STD患者的心理健康。

Epidemiological Investigation and Psychological Status Analysis of 5436 Cases of Outpatients with Sexually Transmitted Diseases

Objective:To investigate the epidemiological characteristics of 5436 cases of outpatients with sexually transmitted diseases (STD) in the region, and to analyze the psychological status of the patients.Methods:Recorded and analyzed the basic situation and epidemiological characteristics in 5 kinds of STD of GH, GCI, CA, GU, SYP in 5436 cases of patients in 3 hospitals in the region (observation group) from January 2012 to December 2014. Evaluated the mental status of 250 patients with STD by the self-made psychological assessment scale, and compared with 250 patients with common cold (control group) in the same period.Results:The number of patients with 5 kinds of common STD from2012 to 2014 was increased,and the GU was decreased most significantly, the GCI was significantly increased.The patients with STD were mainly concentrated in 26~35 years old. The results of the self-made psychological assessment scale showed that the depression, anxiety, avoidance treatment, sexual dysfunction and other factors scores in STD patients were higher than the control group,the differences were statistically significant (P<0.05); Communication barriers,social aggression and other factors scores had no significant difference with the control group (P>0.05).Conclusion:The STD prevalence in the population of sexually active, driver, low education and unmarried in the region,during the clinical treatment of STD, we should pay attention to the mental health of patients with STD.