女性生殖道感染1111例调查分析  

Female genital tract infection:clinical analysis of 1111 cases.

作　　者：石一复[1] 邱丽倩[1] 姚琦玮[1] 黄奖平[1] 

机构地区：[1]浙江大学医学院附属妇产科医院,杭州310006

出　　处：《中国实用妇科与产科杂志》2001年第7期419-422,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：美国中华医学基金会 (CMB)资助项目 (资助号 :93 5 68)

摘　　要：目的　为进一步了解女性生殖道感染性疾病的发病情况及影响发病的相关因素 ,提出防治疾病的干预措施。方法　 1111例来自妇科门诊病人、早孕要求终止妊娠妇女、来本院健康体检的工人、农民、机关干部及性乱妇女 ,通过问卷调查了解其职业、受教育情况、经济状况、卫生习惯、性卫生习惯等情况 ,同时对每位妇女进行常规妇科检查及有关病原体实验室检查。结果　 1111例妇女年龄范围为 15～ 6 6岁 ,平均 (32 7± 8 85 )岁。经期使用不消毒月经垫、不洗外阴者分别占 5 7%及 19 9%。卫生习惯以农民组较差 (P <0 0 1)。平均初次性生活年龄为 2 3 6岁 ,小于平均结婚年龄 2 4 4岁。婚前性生活经历尤以性乱组明显 (P <0 0 1) ,性生活频繁、多个性伴侣、性交前后不清洗外阴及口交、肛交等多样性交方式也以性乱组比例最高 (P <0 0 1)。生殖道普通炎症患病率为 97 7% ,以宫颈炎症性疾病为主 ,为 5 6 0 % ,其次为外阴阴道炎、盆腔炎 ,分别为 35 6 %及 6 1%。性传播疾病 (STD)检出率平均为 5 2 7% ,以滴虫为主 ,为 11 7% ,其次为淋病 9 4%、乙肝病毒感染 8 0 %、衣原体7 8%、人乳头状瘤病毒 5 7%、白色念珠菌感染 4 0 %、巨细胞病毒 2 7%、单纯疱疹病毒 2 3%、脲支原体 1 1%。Objective To study the prevalence of female genital tract infection diseases and the relative risk factors,so as to find a intervention strategy.Methods 1111 investigated population from gynecologic clinic patients,family planning clinic patients,workers,farmers,officers who had routine gynecologic examination in our hospital and prostitutes women who had commercial sexual activity were given questionnaires including occupation,education,economic status,marriage,personal hygiene,sexual activity and hygiene.Pelvic examination and laboratory tests were taken at the same time.Results The average age of 1111 cases was (32\^7±8\^85)years old.The personal hygiene during the menstruation was bad especially in farmers(P<0\^01).The average age of first coition was 23\^6,earlier than the average marriage age 24\^4.In the prostitutes group the earlier coition,the more sexual intercourse per week,multiple sex partners,bad sexual hygiene,multiple coition methods were more common than other groups(P<0\^01).The rate of suffering general gynecological inflammation diseases for all groups was 97\^7%,the highest was cervicitis(56\^0%),the following was vulvitis and vaginitis 35\^6%,pelvic inflammation diseases(PID)6\^1%.The incident of STD for all was 52\^7%,the highest was trichomonas vaginitis 11\^7%,the following was gonorrhea 9\^4%,hepatitis B 8\^0%,chlamydia 7\^8%,human papilloma virus 5\^7%,candida albicans 4\^0%,cytomegalovirus 2\^7%,human herpes virus 2\^3%,ureaplasma urealyticum 1\^1%.The positive rates of general gynecological inflammation diseases and STD in prostitutes group were higher than that of other groups(P<0\^01)and this group had characteristics of low education,servers in occupation,high proportion of abortion before marriage,multiple general gynecological inflammation diseases and STD infection.Conclusion The general gynecological inflammation diseases and STD are important diseases among women's psychological and physical health.The occurrence of these diseases has close relationship with occupation,pe

关 键 词：女性 生殖道感染 影响因素 发病机制 

分 类 号：R711.3[医药卫生—妇产科学]