慢性前列腺炎相关病原体的临床研究

Clinical study of pathogen related to chronic prostatitis

目的了解本地区慢性前列腺炎(CP)相关病原体的分布和感染情况,探讨引起CP的主要致病因素。方法对407例CP患者的前列腺液进行直接镜检、细菌、淋球菌(NG)、真菌(CA)、解脲支原体(UU)、人型支原体(Mh)和沙眼衣原体(CT)进行检测,并对检测结果分组进行比较分析。结果CP的主要致病菌是葡萄球菌,其次是大肠埃希菌。排在前4位致病菌分别为:金黄色葡萄球菌(10.32%)、表皮葡萄球菌(7.86%)、大肠埃希菌(7.62%),溶血性葡萄球菌(4.91%)和CT(4.91%)。A组的细菌感染率高于B组,非细菌病原体感染率低于B组。混合感染占相当比例(10.81%)。CP患者前列腺液直接镜检结果,3组间无显著差异。结论葡萄球菌是CP的主要致病菌,非细菌病原体可引起CP,而不是主要致病因素。混合感染和患者的精神心理因素是CP难以治愈的重要因素。CP患者前列腺液有形成分的改变与何种病原体感染无相关性。

Objective To study the distribution and infection of pathogen related to chronic prostatitis,and discover important the causative agent of chronic prostatitis.Methods Bacterium,Neisseria gonorrhoeae,eumycete,mycoplasma urealytium,human mycoplasma and Chlamydia trachomatis is were examined in 407 patient's prostanic fluid in the same time the results were analyzed.Results The first important causative agent of chronic prostatitis staphylococci and the second is escherichia coli.the sequence of these bacterium is Staphylococcus aureus(10.32%),Staphylococcus epidermidis(7.86%),escherichia coli(7.62%),Staphylococcus haemolyticus(4.91%),Chlamydia trachomati(4.91%).The incident of bacterium infection in group A is highter than that in group B.the combined infection count for 10.81%.there is no diference in the result of microscope inspection.Conclusion Staph staphylococci is the most important causative agent and non bacterium agent can caue chronic prostatitis.Combined infection and psycho-psychologic factor is important faltor for hard to cure.The alter of formed elements in prostaticus fluid is not related to the infection agent.