男性生殖道解脲支原体感染治疗后复发相关因素分析

Related factors of the recurrence of Ureaplasma urealyticum infection in genital tract

目的分析男性生殖道解脲支原体(Uu)感染治疗后复发的相关因素。方法对89例男性生殖道Uu感染抗生素治疗转阴患者随访2个星期以上,并进行问卷调查,调查内容包括慢性前列腺炎症状评分,吸烟、饮酒、久坐、食辛辣、骑自行车等生活习惯,性生活满意程度、性生活频率及性伴侣Uu感染情况。结果 89例患者随访(1.62±0.89)个月,治疗转阴后2个星期以上复查发现复发者13例,复发率14.61%。Uu感染治疗后复发情况与久坐时间、食辛辣食物、性伴侣Uu感染呈正相关,与性生活频率呈负相关。结论在男性生殖道Uu感染治疗中,规避诱发慢性前列腺炎的生活习惯以及关注性伴侣交叉感染情况有利于防止治疗后复发。

Objective To analyze relevant factors of recurrences of Ureaplasma urealyticum （Uu） infections after treatment. Methods Eighty-nine male cases of Uu infection were followed up for more than two weeks after being treated and cured by antibiotics. Questionnaire surveys were conducted among them with respect to National Institute of Health- Chronic Prostatitis Symptom Index （NIH-CPSI）, living habits such as smoking, drinking, sitting for long time, eating peppery foods, and riding bicycles, satisfactory level of sexual activities, sexual frequency, and Uu infections of sexual partners. Results All 89 cases were followed up for （ 1.62 ：i： 0.89） months and 13 of cases recurred after being cured for more than two weeks. The recurrence rate was 14.61%. Recurrences of Uu infections after being cured were positively correlated with long time sitting, eating peppery foods, and Uu infections of sexual partners, and negatively correlated with sexual frequency. Conclusion During the treatments of Uu infections, avoiding living habits that may induce chronic prostatitis and cross infections of sexual partners are helpful for preventing recurrences after being cured.