以生殖器溃疡为特征性病患者的临床和性行为情况研究

Research on clinical feasures and sexual behaviors of venereal disease sufferers charactered with genital ulcer

目的:了解我国以生殖器溃疡为特征的性病患者的临床、病原学和性行为情况。方法:按统一标准在南京、大连、深圳性病专科门诊部收集有生殖器溃疡的初诊病例作临床和实验室诊断及性行为特征调查。结果:在有生殖器溃疡的380例性病患者中,检出梅毒患者153例占40.26%,生殖器疱疹患者167例占43.95%,未发现软下疳和性病性淋巴肉芽肿(LGV)患者。患者中未婚者占25.4%,近3个月内有2个以上性伴的占25.28%,有口-阴接触者占23.56%,在有皮损时有性交者占44.16%,多数患者未采取安全措施,在有措施者中采用安全套的仅占46.56%。结论:目前在我国以生殖器溃疡为特征的性病以梅毒和生殖器疱疹为主,未发现经实验室确诊的软下疳和L G V病例。开展性健康教育尤其是对青少年的性健康教育仍然是一项迫切而艰巨的任务。

Objective：To realize aetiology, clinical feasures and sexual behaviors of venereal disease sufferers charactered with genital ulcer. Methods： To collect such cases in NanJing, DaLian, ShenZhen and analysis their clinical feasures, laboratory diagnosis and sexual behaviors. Results： In these cases, 153 cases suffered syphilis and the percent is 44.16%; 167 cases suffered genital herpes and the percent is 43.95%; Chancroid and lymphogranuloma venereum are not found. In these cases, the percent of spinsterhood is 25.4%, 25. 28% sufferers had no less than two sexual partners in the last three months, 23.56% sufferers had mouth -genitals contact, 44.16% sufferers had sexual behaviors while having genital ulcer, most sufferers had not taken any safe measures, and in those sufferers who had taken measures just 46.56% of them adopted condom. Conclusions： nowadays venereal diseases charactered as genital ulcer are mainly syphilis and genital herpes in China, and Chancroid and lymphogranuloma venereum are not found. It is necessary to develop sexual health education especially in adolescent.