妇科门诊生殖道感染患者及无症状女性淋球菌、沙眼衣原体及解脲脲原体感染情况分析  

Analysis on Neisseria gonococcus infection,Chlamydia trachomatis infection and Ureaplasma urealyticum infection in patients with genital tract infection and asymptomatic women in gynecological department

作　　者：赵超[1] 刘畅[2] 张果[1] 赵昀[1] 李静然[1] 崔淑慧[1] 魏丽惠[1] 

机构地区：[1]北京大学人民医院妇科,100044 [2]北京大学人民医院检验科

出　　处：《中国妇幼保健》2014年第16期2549-2552,共4页Maternal and Child Health Care of China

摘　　要：目的：分析妇科门诊生殖道感染患者淋球菌（NGH）、沙眼衣原体（Ct）及解脲脲原体（Uu）感染情况,并与无症状女性进行比较。方法：选择2010年1月-2011年12月在北京大学人民医院妇科门诊因生殖道感染就诊患者中行分泌物NGH、Ct、Uu检查者749例,并选取同期于妇科门诊行分泌物NGH、Ct、Uu检查的无症状健康体检者665例作为对照,比较两组人群NGH、Ct及Uu感染情况。结果：生殖道感染患者中NGH、Ct及Uu检出率分别为0.80%、5.87%和44.86%;无症状女性中未检出NGH感染者,Ct及Uu检出率分别为4.81%（32例）和38.50%（256例）,两组NGH及Uu感染率比较差异有统计学意义（P=0.022,P=0.009）,而Ct感染率比较差异无统计学意义（P=0.222）。在生殖道感染患者中,性活跃组Ct感染率为7.87%,非性活跃组Ct感染率为2.26%,两组比较差异有统计学意义（P=0.001）;性活跃组Uu感染率为43.89%,非性活跃组Uu感染率为46.62%,两组比较差异无统计学意义（P=0.261）;性活跃组NGH感染率为0.83%,非性活跃组NGH感染率为0.75%,两组比较差异无统计学意义（P=0.637）。在无症状女性中,性活跃组Ct感染率为5.28%,非性活跃组Ct感染率为3.93%,两组比较差异无统计学意义（P=0.286）;性活跃组Uu感染率为36.70%,非性活跃组Uu感染率为41.92%,两组比较差异无统计学意义（P=0.109）。生殖道感染患者中Ct与Uu混合感染22例,占2.94%;NGH与Uu混合感染4例,占0.53%。无症状女性中Ct与Uu混合感染14例,占2.11%;两组Ct与Uu混合感染率比较差异无统计学意义（P=0.206）。结论：妇科门诊因生殖道感染就诊患者的Uu及NGH感染率显著高于无症状女性;在生殖道感染患者中,性活跃组Ct感染率明显高于非性活跃组。Objective： To analyze Neisseria gonococcus（ NGH） infection,Chlamydia trachomatiss（ Ct） infection and Ureaplasma urealyticum（ Uu） infection in patients with genital tract infection and compare with asymptomatic women. Methods： A total of 749 patients with genital tract infection receiving NGH,Ct and Uu detection in secretion were selected from outpatient development of the hospital from January 2010 to December 2011 were selected,665 asymptomatic women receiving healthy physical examination in the hospital during the same period were selected as control group. The infection statuses of NGH,Ct and Uu in the two groups were compared. Results： The detection rates of NGH,Ct and Uu in patients with genital tract infection were 0. 80%,5. 87% and 44. 86%,respectively; among the asymptomatic women without NGH infection,the detection rates of Ct and Uu were 4. 81%（ 32 patients） 和 38. 50%（ 256 patients）,respectively; there were statistically significant differences in NGH and Uu infection rates between the two groups（ P = 0. 022,P = 0. 009）,but there was no statistically significant difference in Ct infection rate（ P = 0. 222）. Among the patients with genital tract infection,the infection rates of Ct in sexually active group and sexually inactive group were 7. 87% and 2. 26%,respectively,there was statistically significant difference between the two groups（ P = 0. 001）; the infection rates of Uu in sexually active group and sexually inactive group were 43. 89% and46. 62%,respectively,there was no statistically significant difference between the two groups（ P = 0. 261）; the infection rates of NGH in sexually active group and sexually inactive group were 0. 83% and 0. 75%,,respectively,there was no statistically significant difference between the two groups（ P = 0. 637）. Among the asymptomatic women,the infection rates of Ct in sexually active group and sexually inactive group were 5. 28% and 3. 93%,there was no statistically significant difference between the two groups（ P =

关 键 词：沙眼衣原体 解脲脲原体 淋球菌 无症状女性 生殖道感染 

分 类 号：R711.3[医药卫生—妇产科学]