贵州省仡佬族、苗族在婚妇女生殖道支原体衣原体携带现况抽样调查  

The carrying condition of ureaplasma urealyticum mycoplasma hominis Chlamydia trachomatis in miao and gelao minority of Guizhou province

作　　者：夏曙华[1] 余蕾[2] 崔华[1] 陈虹[3] 莫非[1] 黄莉[1] 王正蓉[1] 晏家胜 

机构地区：[1]贵阳医学院附属医院临检科,550004 [2]贵阳医学院检验系,550004 [3]贵阳医学院附属医院妇产科,550004 [4]贵州省妇幼保健所,550002

出　　处：《贵州医药》2007年第5期394-398,共5页Guizhou Medical Journal

基　　金：贵州省卫生厅基金资助项目(编号2003-150;序号-50)

摘　　要：目的了解贵州省仡佬族、苗族在婚妇女生殖道解脲支原体(Ureaplasma urealyticum,Uu)、人型支原体(Mycoplasmahominis,Mh)及沙眼衣原体(Chlamydia trachomatis,Ct)的携带现况,并分析影响因素及病原学检查与临床表现的关系。方法用随机抽样的方法选取贵州省正安县谢坝乡,市坪乡农村仡佬族、苗族在婚妇女183例,采集阴道及宫颈分泌物,Uu、Mh采用培养法,Ct采用胶体金技术抗原检测法,白带常规采用革兰氏染色油镜下观察。结果183例Uu、Mh、Ct总阳性率为73.8%(135例),其中仡佬族在婚妇女121例Uu、Uh、Ct阳性检出率分别为50.4%(61例)、37.2%(45例)、14.9%(18例),苗族在婚妇女62例Uu、Mh、Ct阳性检出率分别为53.2%(33例)、48.4%(30例)、12.9%(8例),两个民族在婚妇女生殖道Uu、Mh、Ct的阳性检出率分别为51.4%(94例)、41%(75例)、14.2%(26例),Uu与Mh、Ct与Uu、Ct与Mh同时阳性者分别为46例(25.1%)、11例(6%)、11例(6%),Ct与Uu及Mh同时阳性者8例(4.4%)。结论贵州仡佬族、苗族在婚妇女存在较高的生殖道Uu、Mh、Ct携带率,以Uu最高,其次为Mh和Ct;混合携带率高于单一携带率,携带率与民族、流产史有关,与妊娠史、避孕措施、经济状况、滴虫感染、白色念珠菌感染、线索细胞阳性和症状体征(宫颈糜烂、阴道宫颈充血、痛经、分泌物性状异常)等无显著相关性。Objective To investigate the carrying condition of ureaplasma urealyticum （Uu） mycoplasma hominis （Mh）, Chlamydia trachomatis （Ct） and affect factors in Miao and Gelao minority of Guizhou province. Methods Uu and Mh were detected by the method of cultivation and Ct was detected by antigen test, leucorrhed examined by light microscope. 183 women of minatory from xieba and shiping in zheng＇an county of Guizhou province. Results The detection rates of ureaplasma urealyticum myoplasma hominis and Chlamydia trachomatis in gelao minority and miao minority were 50. 4%, 37. 2%, 14. 9% and 53.2%, 48. 4%, 12. 9% respectively. Conclusion There were most carriers of Uu Mh Ct in gelao and miao minority. Minority and abortions play an important part in Uu Mh Ct infection.

关 键 词：解脲支原体 人型支原体 沙眼衣原体 携带率 

分 类 号：R691.3[医药卫生—泌尿科学] R518.9[医药卫生—外科学]