生殖器溃疡病征处理流程图的评价与临床应用

Evaluation and clinical application of syndromic approaches to genital ulcer's diseases,GUD

目的 评价世界卫生组织 (WHO)推荐的生殖器溃疡病征处理流程图 ,在中国推行的可行性和实用性。方法 以 14 6例生殖器溃疡患者为研究对象 ,用病征处理和病原学检测方法检测 ,并进行特异性、敏感性评价。结果 14 6例生殖器溃疡患者中 ,病征处理符合梅毒诊断的 38例中 ,36例符合病原学诊断。而病征处理符合生殖器疱疹诊断的 10 8例中 ,仅 37例符合病原学诊断。结论 WHO的生殖器溃疡病征处理流程图较适用于梅毒处理 ,对生殖器疱疹处理应除外其它因素 ,谨慎使用。

Objective To evaluate the access and applicability of syndromic approaches to GUD in China recommended by WHO.Methods A total of 146 cases of GUD were sampled and studied by syndromic and etiological approaches,and the sensitivity and specificity of syndromic approaches were evaluated.Results In 38 cases of syphilis treated by syndromic approaches.only 36 cases were confirmed as syphilis etiologically.Meanwhile,in 108 cases of genital herps treated by the syndromic approach,only 37 cases were confirmed as GH etiologically.Conclusion The syndromic approach to GUD which were recommended by WHO is more practical in syphilis,but should be carefully used in genital herps by excluding other possible factors.