广州医学院第三医院淋病及非淋球菌性尿道炎病原体流行病学分析

Epidemiology of pathogens of gonococcal urethritis and non-gonococcal urethritis in the 3rd Affiliated Hospital of Guangzhou Medical College from 1998 to 2007

目的研究我院淋病（GU）和非淋球菌性尿道炎（NGU）患者及其病原体的流行病学情况。方法分析1998～2007年我院皮肤性病科性病门诊初诊患者的个人资料及病原体感染情况。结果GU患者共1198例，男女比例为34：1，平均发病年龄（32．94±10．42）岁，1999年和2000年为发病高峰，2001年后呈下降趋势，但差异无统计学意义（Z=-1．9107，P=0．056）。NGU共1187例，男女比例为4．57：1，平均发病年龄为（32．00±8．75）岁，以2002年和2003年为发病高峰，之后呈逐年下降趋势（Z=-2．5318，P=0．0113）。解脲脲原体、人型支原体和衣原体的感染率均呈下降趋势（P〈0．05）。结论GU及NGU中仍然以男性患者居多，其中以20—39岁的性活跃人群居多。近年来，NGU的发病率均呈逐年下降趋势。

Objective To investigate the epidemiology of patients of GU and NGU and the pathogens. Method The individual materials and pathogens of the first-visiting patients in STD clinic in our department from 1998 to 2007 were analyed. Results There were 1198 patients of GU, the proportion of male ured female was 34： 1. The mean age was （ 32.94 ± 10.42） years. There was a peak incidence of GU in the year of 1999 and 2000, though there was a yearly decreasing proportion about the incidence rate of GU, the difference was not significant （ Z = - 1. 9107 ,P =0.056）. There were 1187 patients with NGU, the ratio of male to female was 4.57： 1, the mean age was （ 32.00 ± 8.75 ） years. There was also a peak incidence in the year of 2002 and 2003 and the incidence rate of the disease was towards decreasing yearly since then（Z = -2. 5318,P =0.0113）. The infection rates of Uu, Mh and Ct deoreased（P 〈 0.05, respectively）. Conclusions There has been a decreasing incidence of NGU in recent years.