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目的 :了解拉萨地区非淋菌性尿道炎的感染状况 ,弄清本地区该病原体类别。方法 :采用聚合酶链反应技术对临床疑为非淋菌性尿道炎患者 378例检测了衣原体和支原体。结果 :沙眼衣原体阳性率为 47 1 % ( 1 78例 /378例 ) ,解脲支原体阳性率 2 6 2 % ( 99例 /378例 ) ,两者合并感染阳性率 3 2 % ( 1 2例 /378例 ) ,不同民族 ,不同性别间比较差异无显著性 (P >0 0 5 ) ;沙眼衣原体和解脲支原体阳性患者多集中在 2 1— 30岁和 31— 40岁两年龄段 ,特别是 31— 40岁年龄段是发病的高峰段 ,分别占 60 68%和 5 3 5 4 % (P <0 0 0 1 )。结论 :提示对妇科和男性科中有洁性交史的患者 ,在做淋球菌检查的同时应做衣原体和支原体检查 ,对明确诊断 ,指导治疗均具有重要的临床价值
Objective: To understand the status of non-gonococcal urethritis infection in Lhasa and find out about the pathogen category in this area. Methods: Chlamydia and Mycoplasma were detected in 378 patients with suspected non-gonococcal urethritis by polymerase chain reaction. Results: The positive rate of Chlamydia trachomatis was 47.1% (78 cases / 378 cases), the positive rate of Ureaplasma urealyticum was 26.2% (99 cases / 378 cases), the positive rates of them were 32% (12 cases / 378 cases). There was no significant difference between different ethnic groups and different genders (P> 0.05). The majority of Chlamydia trachomatis and Ureaplasma urealyticum positive patients were mostly in the age groups of 2 1-30 years and 31-40 years old, especially 31 - The 40-year-old was the peak of incidence, accounting for 60 68% and 534%, respectively (P 0 01). Conclusion: It is suggested that patients with gynecological and male subjects who have sexual intercourse during the course of their gonorrhea examination should be tested for chlamydia and mycoplasma, which has important clinical value in the diagnosis and guidance treatment