性高危人群感染解脲脲原体和人型支原体分析

Analysis of the infectious conditions of Ureaplasma urealyticum and Mycoplasma hominis in STD high risk population groups

目的 探讨泌尿生殖道支原体在性高危人群中的感染状况。方法 采用培养法对 4 6 8例按摩妇女、95例性乱者、2 12例性病伴侣进行解脲脲原体 (Uu)和人型支原体 (Mh)的检测。结果 按摩妇女、性乱者、性病伴侣泌尿生殖道支原体感染率分别为 6 6 .7%、35 .8%、39.2 % ,与健康人群 (13.5 % )比较 ,差异均有非常显著的统计学意义 (χ2 =174 .5 6、2 0 .91、37.98,P均 <0 .0 0 5 )。按摩妇女支原体感染率与性乱者、性病伴侣比较 ,差异有非常显著的统计学意义 (χ2 =31 78、4 5 .37,P均 <0 .0 0 5 ) ,性乱者与性病伴侣比较 ,差异无显著的统计学意义 (χ2 =0 .31,P>0 .0 5 )。Uu感染率 (2 1.0 % )与Mh(8.0 % )比较 ,前者非常明显地高于后者 (χ2 =33.16 7,P <0 .0 0 5 )。女性支原体感染率 (6 3.0 % )非常明显地高于男性 (2 4 .5 % ) (χ2 =74 .5 5 ,P <0 .0 0 5 )。男性Uu感染率 (9.0 % )与女性(2 0 .0 % )比较 ,女性非常明显地高于男性 (χ2 =10 .19,P <0 .0 0 5 )。Uu和Mh混合感染率 (2 9.6 % )非常明显地高于Uu(17.8% )或Mh(8.0 % )的感染率 (χ2 =2 9.5 6、117.99,P均 <0 .0 0 5 )。结论 Uu、Mh在按摩妇女、性乱者、性病伴侣中流行广、感染率高 ,在性病的防治和监测工作中应加以重视。

Objective To investigate infectious conditions of urogenital mycoplasma in STD(sexually transmitted diseases)high risk populations.Methods Ureaplasma urealyticum(Uu)and Mycoplasma hominis(Mh)were detected by the method of cultivation from 468 masseuses(actually commercial sex workers),95 individuals with multiple sex partners and 212 individuals whose sexual partners had STDs.Results The infection rates of urogenital mycoplasma among these three groups of population were 66.7%,35.8% and 39.2% respectively,significantly higher than those in the healthy control(χ2=174.56,20.91,37.98,P<0.005).The infection rate of urogenital mycoplasma in masseuses was significantly higher than those with multiple sex partners and those whose sex partners had STD(χ2=31.78、45.37,P<0.005).But statistically there was no significant difference between the second and third groups(χ2=0.31,P>0.05).The infection rate of Uu was significantly higher than that of Mh(χ2=33.16,P<0.005),and the infection rate of Uu in women was significantly higher than in men(χ2=10.19,P<0.005).The mixed infection rate of Uu and Mh was significantly higher than that of Uu or Mh(χ2=29.56、117.99,P<0.005).Conclusions The data above indicated that there were widely epidemic tendency and high infectious rates of Uu and Mh in the three population groups,to which we should pay attention in the prevention,treatment and surveillance of venereal diseases.