生殖道支原体和衣原体感染与妇女不孕及性功能障碍的关系  

Relationship between genital tract Mycoplasma,Chlamydiainfections and infertility and sexual dysfunction of women

作　　者：姚晓燕[1] 唐爽[1] 陈欣[1] 蒋燕[1] 何芳[1] 谭建春[1] 高佳星[1] 于雪梅[1] 杨琴[2] 王豫川[2] 吕连华 YAO Xiao-yan;TANG Shuang;CHEN Xin;JIANG Yan;HE Fang;TAN Jian-chun;GAO Jia-xing;YU Xue-mei;YANG Qin;WANG Yu-chuan;LYU Lian-hua(Mianyang People's Hospital,Mianyang,Sichuan 621000,China)

机构地区：[1]绵阳市人民医院妇产科,四川绵阳621000 [2]绵阳市人民医院检验科,四川绵阳621000

出　　处：《中华医院感染学杂志》2020年第5期738-741,共4页Chinese Journal of Nosocomiology

基　　金：四川省卫生计生委基金资助项目(140038)。

摘　　要：目的探索生殖道支原体与衣原体感染和妇女不孕及性功能障碍的关系.方法选取2014年9月-2018年9月于绵阳市人民医院接受治疗的426例不孕患者为不孕组,根据不孕情况分为原发性不孕组(248例)和继发性不孕组(178例),另外随机选取同期接受体检的418名健康妇女作为对照组.统计各组患者支原体感染、衣原体感染以及混合感染比例.对比不孕组和对照组不同感染情况性功能指标评分,分析生殖道支原体与衣原体感染和妇女不孕与性功能障碍的相关性.结果继发性不孕组支原体感染发生率、衣原体感染发生率、混合感染发生率均高于原发性不孕组和对照组,其中对照组感染发生率最低,数据对比具有统计学意义(P<0.05);不孕组性唤起、性欲、性生活接受度、性生活频率、性关系满意程度、性高潮、性行为评分低于对照组,数据对比具有统计学意义(P<0.05);相关性分析结果显示,妇女不孕与妇女性功能障碍呈相关性(P<0.05),生殖道支原体和衣原体感染与及性功能障碍呈相关性(P<0.05).结论继发性不孕妇女生殖道支原体感染及衣原体感染情况较为严重,妇女不孕与性功能障碍呈相关性,生殖道支原体和衣原体感染与其性功能障碍呈密切相关性.OBJECTIVE To explore the correlation between genital tract Mycoplasma,Chlamydia infections and infertility and sexual dysfunction of women.METHODS Totally 426patients with infertility who were treated in Mianyang People's Hospital from Sep 2014to Sep 2018were recruited as the study objects and were assigned as the infertility group,which was divided into the primary infertility group with 248cases and the secondary infertility group with 178cases,meanwhile,418healthy women who received physical examination were set as the control group.The percentages of the patients with Mycoplasma,Chlamydia and mixed infections were statistically analyzed,the scores of sexual function indexes were compared between the interfertility group and the control group,and the correlation between the genital tract Mycoplasma,Chlamydia infections and the infertility and sexual dysfunction of women was observed.RESULTS The incidence rates of Mycoplasma,Chlamydia and mixed infections of the secondary infertility group were significantly higher than those of the primary infertility group and the control group,the incidence rate of infection of the control group was the lowest(P<0.05).The scores of sexual arousal,sexual desire,sexual life acceptance,sexual life frequency,satisfaction with sexual relationship,orgasm and sexual behavior of the infertility group were significantly lower than those of the control group(P<0.05).The correlation analysis showed that the infertility of the women was associated with the sexual dysfunction(P<0.05)and that the genital Mycoplasma and Chlamydiainfection were closely associated with the sexual dysfunction(P<0.05).CONCLUSIONThe genital tract Mycoplasma and Chlamydiainfections are highly prevalent among the women with secondary infertility,the infertility is associated with the sexual dysfunction,and the genital tract Mycoplasma and Chlamydiainfections are closely associated with the sexual dysfunction.

关 键 词：生殖道 支原体 衣原体 不孕 性功能障碍 

分 类 号：R711[医药卫生—妇产科学]