深圳市一般妇女生殖道感染状况及其影响因素分析

Status of reproductive tract infection(RTI) of general women in Shenzhen and the relevant influential factors

目的:了解深圳市妇女生殖道感染(RTI)流行情况,分析其中全市一般人群(一般人群)与罗湖区受检人群(罗湖区人群)RTI流行情况及其影响因素,寻求普通人群RTI的防治办法。方法:通过问卷调查生物学特征及其他相关情况;妇科检查阴道、宫颈情况,取相应分泌物及抽取静脉血分别进行相关病原体实验室检查;用SPSS10.0软件进行统计描述和判断。结果:①深圳市一般人群RTI感染率(25.5%)与我国其他地区研究结果一致,而罗湖区人群RTI感染率(17.6%)则明显低于全市水平;②宫颈感染的危险因素为年龄≤25岁、未婚、近3个月有新性伴及没有使用避孕套,阴道感染中滴虫感染的危险因素为年龄≤25岁、初次性生活年龄<18岁、未婚,高中以上文化程度者患细菌性阴道病和念珠菌性阴道炎的可能性较小;③罗湖区人群对部分RTI症状的认知程度明显高于一般人群。结论:加强对RTI、AIDS防治的健康教育工作,在各个不同层面开展多种形式的RTI、AIDS防治知识教育是提高一般人群对RTI、AIDS认识,减少疾病发生和传播的重要因素;积极开展生殖健康普查、普治工作,尽早发现无症状RTI病人并进行规范治疗,是阻断疾病发展、传播,减少并发症发生和HIV感染机会的重要环节。

Objective:To know status of reproductive tract infection(RTI) of women in Shenzhen city,and analyse the distinguish of status of RTI between women of Luohu district in Shenzhen city and women of Shenzhen city,in order to explore the way of prevention and treatment of RTI of general women.Methods:Investigate the feature of population and other relative situation;check the situation of utertus-cervical and vagina,take the sample of serum for checking payhogen of monilialsis,trichomoniasis, bacterial-vaginitis,chlamydiosis,syphilis,gonorrhoea and HIV; take the data analysis by SPSS10.0.Results:①It was the same in status of RTI between women in Shenzhen city and women in China, but the status of RTI of women in Luohu(17.6%) was lower than that of the former.②The dangerous factors of infective of utertus-cervical were age≤25,unmarried, having new sexual partner in lately three months and not using condom; The dangerous factors of trichomoniasis were age ≤25, age of first sexul intercourse<18, unmarried; The possibility suffering from bacterial and monilial vaginitis was lower in educated ≥ senior than that in others.③The knowledge of some symptoms of RTI were higher in women of Luohu than that in women of Shenzhen. Conclusion:There are important factors which can improve the understanding of RTI and AIDS, reduce the occur and spread of RTI and AIDS of general women by strenthening education and propaganda of prevention and treatment of RTI and AIDS in varying degrees and varied forms; There are important links which can prevent development and spread of RTI,reduce complication of RTI and the occurrence opportunity of AIDS by developing positively general survey and treatment of reporuductive health,discovering early and treating regularly the patients without symptoms.