女性体检人群生殖道病原体的分布

目的了解体检妇女人群生殖道感染情况,为女性生殖道感染的防治提供进一步的资料。方法对1157例参加健康体检的妇女的阴道后穹窿及宫颈分泌物标本进行显微镜镜检以检测阴道清洁度、真菌、滴虫等,同时采用培养法对淋球菌、解脲支原体、人型支原体、真菌等进行检测,沙眼衣原体则采用免疫层析法;检测结果进行统计学分析。结果女性生殖道感染的感染率为54.0%,其中混合感染率为9.3%,而清洁度异常率仅为23.8%;前3位病原体依次为解脲支原体(35.3%)、衣原体(22.2%)、真菌(5.5%);年轻妇女组与年老组支原体的检出率差异有显著性(P<0.05)。结论女性生殖道感染情况严重,支原体、衣原体等感染隐匿,加强对育龄妇女的监测尤为重要。

Clinical analysis of distribution of pathogens in health examination women's reproductive tract

Objective To investigate the pathogens and incidence of RTI(reproductive tract infections) in health examination women.Methods 1157 samples of vaginal discharge and cervical sevretions were collected.Gonococcus,Ureaplasma urealyticum(Uu),M.hominis(Mh),Candida(Cd),were detected by culture.Trichomonas,Cd,were detected by microscopy examination.Chlamydia trachomatis(Ct) were detected by immunochro-matographic method.Results The incidence of RTI in health examination women was 54.0%.The mixed infection was 9.3%.Main pathogens were Uu,Ct and Cd.The positive rate of them were 35.3%,22.2%,5.5%,respectively.The incidence of Uu in young women was significantly higher than that of senility women(P<0.05).Conclusions RTI in women needs further investigation.It is necessary that Uu and Ct were detected in reproductive age women.