女性健康体检人群生殖道解脲脲原体和沙眼衣原体感染状况  

Infection status analysis of Ureaplasma urealyticum and Chlamydia trachoma in female health checkup population

作　　者：陈荣彬 李志方[1] 嘉红云[1] 魏洁[1] CHEN Rongbin;LI Zhifang;JIA Hongyun;WEI Jie(Department of Clinical Laboratory,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510260,China)

机构地区：[1]广州医科大学附属第二医院检验科,广东广州510260

出　　处：《热带医学杂志》2024年第3期324-327,共4页Journal of Tropical Medicine

基　　金：广东省医学科学技术研究基金项目(A2021053)。

摘　　要：目的 了解本地区女性健康体检人群生殖道解脲脲原体(UU)和沙眼衣原体(CT)感染情况。方法 选取2019年1月-2022年12月广州医科大学附属第二医院健康体检女性人群2 729例,其中单独UU培养1 091例,UU培养与CT抗原联合检测(UU+CT)1 638例,对检测结果进行统计分析。结果 女性健康体检人群2 729例UU培养总阳性率52.84%,1 638例UU+CT联合检测中,CT阳性率2.38%,UU+CT共同阳性率1.83%。UU各年龄组阳性率不同,其中41~<51岁阳性率最高为59.60%,51~<61岁组和≥61岁组与其他年龄组比较差异均有统计学意义(P均<0.05)。CT各年龄组阳性率不同,41~<51岁阳性率最高,为3.38%,但各年龄组间比较差异均无统计学意义(P均>0.05)。高育龄组(35~45岁)UU阳性率59.08%,低育龄组(<35岁)UU阳性率54.18%,两组差异有统计学意义(χ^(2)=4.128,P<0.05);CT在高低育龄组间差异无统计学意义(P>0.05)。2019-2022年UU和CT阳性率逐年下降,仅UU阳性率下降趋势有统计学意义(χ^(2)=19.94,P<0.05)。结论 女性在健康体检中应重视生殖道病原体筛查,尤其是育龄妇女,应定期进行体检,及时干预,减少病原体传播。Objective To understand the infection status of Ureaplasma urealyticum(UU)and Chlamydia trachomatis(CT)in female health checkup population in this area.Methods A total of 2 729 cases of female physical examination population were selected in the health examination center of the Second Affiliated Hospital of Guangzhou Medical University between January 2019 and December 2022.There were 1 091 UU culture cases and 1 638 UU culture combined with CT antigen detection case(UU+CT).The test results were statistically analyzed.Results Among 2 729 cases of female health examination,the total positive rate of UU culture was 52.84%.Among 1 638 cases of UU+CT combined testing,the CT positive rate was 2.38%,and the UU+CT joint positive rate was 1.83%.The positive rate of UU was different in each age group,with the highest positive rate of 59.60% in those aged 41-<51 years old.There were statistically significants difference between the 51-<61 years old group and the ≥61 group compared with other age groups(all P<0.05).The positive rate of CT in each age group was different,and the positive rate was highest in those aged 41-<51 years old(3.38%).However,there were no statistically significant differences in the positive rate between various age groups(all P>0.05).In addition,the UU positive rate in the high childbearing age group(35-45 years old)was 59.08%,and the UU positive rate in the low childbearing age group(<35 years old)was 54.18%;The difference between the two groups was statistically significant(χ^(2)=4.128,P<0.05).There was no statistically significant difference in CT between high and low childbearing age groups(P>0.05).The positive rates of UU and CT decreased year by year from 2019 to 2022,and only the downward trend of UU positive rate was statistically significant(χ^(2)=19.94,P<0.05).Conclusions Women should pay attention to screening for reproductive tract pathogens during physical examinations,especially women of childbearing age.They should undergo regular physical examinations and intervene in time to red

关 键 词：女性健康体检 解脲脲原体 沙眼衣原体 生殖道感染 

分 类 号：R711.3[医药卫生—妇产科学]