育龄女性生殖道混合感染病原体及相关因素调查研究

Study of pathogens of reproductive tract mixed infections in reproductive age women and its influential factors

目的：了解顺德地区育龄女性生殖道混合感染患病情况及相关影响因素。方法以2013年6月至2014年6月在妇科门诊就诊的5000例育龄妇女作为研究对象进行问卷调查、妇科检查和实验室检查。结果1845例患者检出生殖道感染，患病率为36．9％，10种监测疾病构成依次为需氧菌性阴道（AV）38．0％、解脲脲原体感染（UU）36．5％、细菌性阴道病（BV）30．3％、外阴阴道假丝酵母菌病（VVC）28．6％、沙眼衣原体感染（CT）9．9％、人型支原体感染（MH）8．5％、梅毒（TP）2．1％、滴虫性阴道炎（TV）0．9％、淋病（NG）0．4％、HIV 0％。混合感染747例，占40．5％，有1097例妇女患有一种感染，占59．5％；537例妇女患两种感染，占29．1％，210例妇女同时患有3种及以上的生殖道感染，占11．4％。常见感染组合模式为BV＋ AV、CA＋AV、CT＋ AV、UU＋CA、BV＋CA、CT＋BV、CA＋BV＋AV。30～＜40岁组妇女、中学教育程度、使用IUD避孕是 RTI发生的相关因素。结论育龄妇女生殖道混合感染较严重，研究混合感染的病原体及相关因素，对于该病的防治具有积极意义。

Objective To study the common pathogens and incidence of reproductive tract mixed infections in reproductive age women and its influential factors .Methods A questionnaire survey was conducted in 5 000 outpatients from June 2013 to June 2014 ,So did the gynecological examination and laboratory tests statistical analysis was performed .Results The incidence of repro‐ductive tract infections（RTI） in reproductive age women was 1845 cases（36 .9% ） ,10 types of monitoring of pathogens were ob‐served .Positive rates were 38 .0% for AV ,36 .5% for UU ,30 .3% for BV ,28 .6% for VVC ,9 .9% for CT ,8 .5% for MH ,2 .1%for TP ,0 .9% for TV ,0 .4% for NG ,0 .0% for HIV ,respectively .747 patients of mixed infection ,accounted for 40 .5% ,1 097 pa‐tients in 59 .5% of total cases suffered from one kind of infectious diseases ,537 （29 .1% ） two kind and 210 （11 .4% ） more than three kind .The common mode of mixed infection were BV ＋ AV ,CA＋ AV ,CT＋ AV ,UU＋CA ,BV＋CA ,CT＋BV ,CA＋BV＋AV .Influential factors to female RTI included age ,the education level and the way of contraception .Conclusion For the prevalence rate of reproductive tract mixed infections in reproductive age women is high ,studying pathogens and relative factors in female re‐productive tract mixed infections has positive meaning to it′s prevention and cure .