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目的研究探讨老年梅毒感染分布以及影响因素,为临床预防和控制提供相关建议。方法选取2009年4月-2012年10月医院住院部收治的老年梅毒抗体阳性患者共85例,梅毒抗体采用酶联免疫吸附试验法进行检测,同时对阳性患者所患疾病类型、诊疗历史以及所占比例、既往职业等进行详细统计分析,数据采用SPSS15.0软件进行统计分析。结果通过ELISA方法检出梅毒抗体阳性为81例,使用TRUST进行复检,检出阳性68例,在综合判断以及TPPA确证总阳性患者为75例;所有经TPPA确证试验阳性患者ELISA法OD值为(1.825±0.714)。结论梅毒血清学检查是诊断梅毒的重要依据,对此类病患的临床诊断和治疗具有重要意义,但同时还需要了解患者的主要临床症状表现,对患者病史、生活史和接触史等进行统计,以此来综合分析判断,提高诊断的科学性和有效性。
Objective To study the distribution and influencing factors of syphilis infection in the elderly and provide suggestions for clinical prevention and control. Methods A total of 85 elderly patients with syphilis were selected from April 2009 to October 2012 in our hospital, and the syphilis antibody was detected by enzyme-linked immunosorbent assay (ELISA). Meanwhile, the type of disease, diagnosis and treatment history, Accounting for the proportion of previous occupations such as detailed statistical analysis, the data using SPSS15.0 software for statistical analysis. Results The results showed that there were 81 positive cases of syphilis antibody detected by ELISA, and 68 cases were positive by TRUST. Among all the 75 cases positive for TPPA, the OD value of all ELISA positive cases was (1.825 ± 0.714). Conclusions Syphilis serology is an important basis for the diagnosis of syphilis. It is important for the clinical diagnosis and treatment of such patients. However, it is also necessary to understand the main clinical symptoms of patients and to make statistics on the patients’ history, life history and exposure history , In order to comprehensive analysis and judgment, to improve the scientific diagnosis and effectiveness.