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目的分析计划生育门诊病人宫颈沙眼衣原体(CT)感染流行性病学及相关因素。方法采用横断面调查一阶段整群抽样方法,以2012年1月至2014年1月期间到我院计划生育门诊就诊的病人(均为女性)为受试对象,均进行宫颈沙眼衣原体检测,分析CT感染流行性病学及相关因素。结果本研究共入选1871例,均进行了CT检测和问卷调查,整群抽样率100%,其中宫颈CT阳性448例,阳性率为23.94%;≤20岁者CT感染阳性率最高,为28.09%,分别与21~30岁组、31~40岁组和>40岁组比较,差异均有统计学意义(P<0.05或P<0.01);CT感染者主要集中于服务业、农民和司机,其阳性率分别为42.20%、34.29%和30.85%,商业和工人职业者CT感染阳性率较低,分别为14.44%和15.74%。结论沙眼衣原体检测在计划生育门诊中具有非常重要的价值,尤其对感染率较高人群,要有针对性的进行沙眼衣原体检测,以促进优生优育、提高妇女的生殖健康水平,防止性传播疾病的蔓延。
Objective To analyze epidemiology and related factors of cervical infection of Chlamydia trachomatis (CT) in family planning outpatients. Methods One-stage cross-sectional cluster sampling method was used in this study. From January 2012 to January 2014, all the patients (female) who came to the family planning outpatient department of our hospital were tested for C. trachomatis. Epidemiology and Related Factors of CT Infection. Results A total of 1871 cases were enrolled in this study. CT examination and questionnaire survey were performed. The sampling rate was 100%. The positive rate of cervical CT was 448 and the positive rate was 23.94%. The positive rate of CT in ≤20 years old was 28.09% , Respectively, with statistical significance (P <0.05 or P <0.01), respectively, compared with 21-30 years old, 31-40 years old group and> 40 years old group. CT infected patients mainly focused on service workers, farmers and drivers, The positive rates were 42.20%, 34.29% and 30.85% respectively. The positive rates of CT in commercial and industrial workers were 14.44% and 15.74% respectively. Conclusion Chlamydia trachomatis testing in the family planning clinic has a very important value, especially for people with higher infection rates, we must conduct targeted detection of Chlamydia trachomatis in order to promote prenatal and postnatal care, improve women’s reproductive health and prevent sexually transmitted diseases spread.