女性不同人群下生殖道感染状况调查及危险因素分析  

Incidence and risk factors of female reproductive tract infections in Beijing area

作　　者：刘菲[1] 张岱[1] 刘朝晖[1] 廖秦平[1] 耿力[2] 卢丹[3] 徐晓萍 张爱梅[5] 

机构地区：[1]北京大学第一医院妇产科,北京100034 [2]北京大学第三医院 [3]北京妇产医院 [4]北京展览路医院 [5]北京市门头沟区医院

出　　处：《中国妇幼保健》2008年第9期1256-1259,共4页Maternal and Child Health Care of China

基　　金：首都医学发展科研基金(2003-1001);北京市科技计划项目(Y0204003040731)

摘　　要：目的:了解北京地区部分城市人群、农村人群、流动人群女性下生殖道感染状况及不同生活、卫生行为对下生殖道感染的影响。方法:于2005年3月～2006年9月由北京地区协作医院对当地农村人群、流动人群(批发市场商户)、城市人群女性进行下生殖道感染调查。所有对象填写调研表,并对其进行下生殖道感染的相关检查,比较3组的流行病学资料并进行感染高危因素分析。结果:①在所有研究对象中,HPV检出率最高为15.7%,其他依次是衣原体13.4%、细菌性阴道病11.1%,外阴阴道念珠菌病6.1%和滴虫性阴道炎0.8%。②衣原体感染城市人群最高,为15.8%,其次是农村人群(9.0%)和流动人群(8.8%);HPV感染农村人群(26.0%)高于流动(23.7%)和城市人群(11.0%),差异均有统计学意义(P均<0.05)。滴虫性阴道炎、外阴阴道念珠菌病和细菌性阴道病发生率3组差异无统计学意义(P均>0.05)。本次调查未检出淋病、HIV和生殖道梅毒感染。③3组人群的洗浴方式、性伴侣数、教育程度、阴道冲洗习惯、经期清洗外阴和服用抗生素情况差异有统计学意义(P均<0.05)。结论:女性不同人群间下生殖道感染发生率的差异可能与其生活习惯及卫生行为有关,应根据不同人群的不同生活习惯及卫生行为特点采取针对性措施及行为干预以降低下生殖道感染发生率。Objective： To investigate the incidence of female reproductive tract infection in urban, rural and non -resident population of Beijing area and to analyze its relationship with living and sanitation habits. Methods： Living and sanitation habit were examined u- sing questionnaire and female reproductive tract infections including trichomoniasis, vulvovaginal candidiasis （ VVC）, bacterial vaginosis （BV）, human papilloma virus （HPV） and chlamydia trachomatis （CT） were detected by relative methods. Results： One hundred rural females, 199 non - resident females and 577 urban females were enrolled in this study. The incidence of HPV infection was 15. 7%, and CT 13. 4%, BV 11. 1%, VVC 6. 1% and trichomnniasis 0. 8%. CT was more popular in urban women （15. 8% ）, and HPV was more popular in rural female （26. 0% ）. No difference of the incidence of VVC, BV and trichomoniasis was found among three populations. Edu- cation level, using tubbing, number of sex partner, antibiotics intake, washing vulva during menstruation, douching were statistically different among three populations. Conclusion： Different living and sanitation habit of urban, rural and non - resident population may contribute to the difference in incidence of female reproductive tract infection. Individual behavior intervene, especially douching forbidden should be done to reduce the prevalence of female reproductive tract infection.

关 键 词：下生殖道感染 女性人群 发病率 行为干预 

分 类 号：R173[医药卫生—妇幼卫生保健]