摘要
对2013年11月至2014年10月期间于北京中医药大学东方医院性病化验室进行检测的北京市丰台区方庄地区2035例患者,进行流行病学调研,其中最小年龄10岁,最大年龄92岁;1012人报告职业,占总数49.7%;未报告职业1023人,占总数50.3%;325人次检测泌尿生殖道快速淋球菌涂片,诊断淋病57人次,发病率5.6%。513人次泌尿生殖道衣原体,诊断衣原体性尿道炎23人次,衣原体性宫颈炎7人次,发病率5.8%。1013人次检测血清梅毒特异性抗体、快速梅毒反应素试验,诊断梅毒(一期)10人次,梅毒(二期)85人次;对梅毒特异性抗体阳性、快速梅毒反应素试验阴性人员按梅毒感染人员监测血清,发病率9.4%。128人次检测血清单纯疱疹Ⅱ型IgG、IgM,诊断生殖器疱疹6人次,发病率4.7%。5人次检查醋酸白试验,诊断尖锐湿疣5人次。670人次检测泌尿生殖道支原体培养,诊断支原体性宫颈炎35人次,支原体性尿道炎84人次,发病率17.8%。支原体性泌尿生殖道感染以Uu感染为主,女性诊断支原体性宫颈炎不仅培养支原体阳性,还要结合女性患者有白带增多、下腹坠胀、宫颈分泌物增多、宫颈口红肿等症状及体征。在诊断明确的情况下,要根据支原体鉴定及药敏的结果选择合适的药物,避免支原体耐药问题产生。
2035 patients at STD laboratory in Department of Dermatosis and Cypridopathy of Dongfang Hos- pital from November 2013 to October 2014 were investigated for epidemiological investigation. The youngest patient was 10 years old, while the oldest was 92 years old. The occupations of 1012 patients were known, accounting for 49.7%, while those of the rest were not known （ 1023, 50. 3% ）. Of the 325 patients that were detected with rapid smear of the urinary tract, 57 ones were diagnosed with gonorrhea, an incidence of 5.6%. Of the 513 people detec- ted by the genital tract Chlamydia, 23 ones were diagnosed with chlamydia urethritis and 7 people were diagnosedwith chlamydia cervicitis, an incidence of 5.8%. Of the 1013 people received serum specific antibody of syphilis and syphilis rapid reaction hormone test, 10 people were diagnosed with syphilis （ phase I） and 85 people of syphilis （ phase II）. Persons of syphilis specific antibody positive and syphilis rapid reaction hormone test negative were de- tected again with serum test, and the incidence was 9.4%. Of the 128 people detected with HSV - II IgG and IgM, 6 persons were diagnosed with herpes progenitalis, an incidence of 4.7%. 5 people received the acetic acid white test, and all the 5 people were diagnosed with condyloma. Among the 670 people detected by the mycoplasma cul- ture of urogenital tract secretion, 35 persons were diagnosed with mycoplasma cervicitis, and 84 ones were diagnosed with mycoplasma urethrltis, an incidence was 17.8%. Uu infection was the main infection in the genital tract infec- tions of mycoplasma. For female patients diagnosed with mycoplasma cervicitis, they should be detected by myco- plasma culture and also their symptoms including increased leucorrhea, ventral belly, increased cervical secretions, cervical inflammation and others. Appropriate medicine should be chosen according to the drug sensitivity of myco- plasma, to avoid the problem of drug resistance.
出处
《中国性科学》
2015年第11期59-62,共4页
Chinese Journal of Human Sexuality
基金
国家自然科学基金(81072811)
