天津地区泌尿生殖道沙眼衣原体慢性持续感染的流行病学研究

Persistent chlamydial genital infection in Tianjin area: An epidemiological study

目的:了解天津地区性病门诊2009~2011年泌尿生殖道沙眼衣原体慢性持续感染的流行病学特征。方法:对天津市性病研究所门诊泌尿生殖道沙眼衣原体慢性持续感染患者的临床资料进行统计分析。结果:辖区内2009~2011年共有泌尿生殖道沙眼衣原体慢性持续感染患者158例,年龄19~67岁,其中20~29岁和30~39岁年龄组最多,分别占39.24%和34.81%。以商业职业居多,占36.71%;文化程度以大专及以上学历比例最高,占55.06%;性伴职业以洗浴中心、歌厅及宾馆饭店等特殊职业的服务员和配偶为主,分别占41.77%和32.91%;女性发生持续感染的概率为59.49%,明显高于男性;合并支原体、梅毒、白念珠菌、尖锐湿疣感染的情况较多。结论:天津地区泌尿生殖道沙眼衣原体慢性持续感染流行趋势仍很严峻,应根据新的流行特征,制定相应的防治措施。

Objective： To investigate the epidemic features of persistent genital chlamydial infection （GCI） in Tianjin area. Methods ： We statistically analyzed the clinical data about the persistent GCI patients received at the Venereal Disease Clinic of Tianjin Medical University General Hospital from 2009 to 2011. Results ： A total of 158 patients with persistent GCI were received from Tian- jin area. The patients ranged in age from 19 to 67 years, 39.24% from 20 to 29 and 34.81% from 30 to 39 years, 36.71% with com- mercial occupation, and 55.06% with college education or above. The sex partners of the patients included their spouses （32.91% ） and waitresses （41.77%）. The incidence probability of persistent GCI was higher in the females （59.49%） than in the males. Many of the patients were complicated with infections of mycoplasma, syphilis, eandida albicans, or eondyloma acuminatum. Conclusion ： The epidemic trend of persistent GCI is rather grim in Tianjin area. New measures have to be developed targeting the epidemiological features of persistent GCI for better prevention and control of the disease.