某市不同行业女性生殖道环境及常见性传播疾病混合感染状况的研究

Research on genital tract environment and the state of mixed infection of common sexually transmitted diseases in females with different professions in certain city

目的通过分析某市不同行业女性生殖道环境及常见性传播疾病混合感染状况,从而为这些女性不同人群制定有效保护生殖道环境及防治性传播疾病流行提供依据。方法所有病例选自2011年1～12月该院妇产科门诊,年龄17～35岁女性,对其从业情况和性行为采取问卷调查,根据其从业情况分为白领行业组(Wci)、特殊服务行业组(Ssi)、普通服务行业组(Osi)、工人行业组(Twi);每例患者用4支无菌专用拭子采样,分别进行白带常规、BV、细菌和支原体培养、沙眼衣原体检查。结果 Wci与Ssi、Osi和Twi三组分别比较:Wci发生混合感染情况基本低于其他三组(P<0.05),其中Wci发生Ng+CT和Ng+CT混合感染情况与Ssi相比差异无统计学意义(P>0.05),四组中Wci生殖道环境最好、细菌性阴道病的发病也最低;Ssi与Osi和Twi两组分别比较:Ssi发生Ng+CT和Ng+CT混合感染情况低于其他两组(P<0.05),Ssi发生Uu+Mh和Uu+CT混合感染情况显著高于其他两组(P<0.01),三组生殖道环境都差,但Ssi细菌性阴道病的发病率最高;四组发生Ng+Uu+CT混合感染相互比差异无统计学意义(P>0.05)。结论某市女性的生殖道环境及发生常见性传播疾病混合感染情况与其从事的行业紧密相关。

Objective To explore the genital tract environment and the state of mixed infection of common sexually transmitted diseases（STD） in females with different professions in certain city to offer a gist for the prevention and therapy of STD.Methods All cases,aged from 17 to 35,were selected from female patients of Outpatient Department of Gynaecology and Obstetrics of this hospital from January to December 2011.Questionnaire survey about profession and sexual behavior were performed.According to professions,all cases were divided into white-collar profession group（Wci）,special service profession group（Ssi）,ordinary service profession group（Osi） and workers group（Twi）.Four samples were taken from every patient by using sterile special swabs,and detected for leucorrhoea routine,bacterial vaginosis（BV）,germicultrue,mycoplasma culture and Chlamydia trachomatis（CT）.Results The incidence of mixed infection of Wci group was basically lower than Ssi,Osi and Twi group（P〈0.05）.The incidence of mixed infection in Wci group was significantly lower than in the other three groups（P〈0.05）,but the incidence of Neisseria gonorrhoeae（Ng）＋CT infection in Wci group was not significantly different from that in Ssi group（P〉0.05）.Among the four groups,genital tract environment of Wci group was the best,with the lowest incidence of BV.Compared with Osi and Twi group,the incidence of Ng＋CT of Ssi group was lower（P〈0.05）,but the incidence of Ureaplasma urealyticum（Uu）＋Mycoplasma hominis（Mh） and mixed infection of Uu＋CT in Ssi group was obviously higher（P〈0.01）.The genital tract environment of these three groups was all bad,but the incidence of BV in Ssi group was the highest.Incidence of mixed infection of Ng＋Uu＋CT in the four groups were without statistical difference（P〉0.05）.Conclusion The female genital tract environment and the state of mixed infection of common STD in this city might be closely related to their professions.