南充市门诊男性泌尿生殖道标本解脲支原体和沙眼衣原体的感染情况研究(1)
摘 要：目的 分析南充市门诊就诊男性泌尿生殖道标本UU和CT感染情况以及年龄分布特点，加强本区域男性CT和UU筛查。方法 收集2014年7月～2017年7月共657例门诊男性尿道分泌物标本，采用荧光PCR法进行UU、CT测定，并将所有男性受检者分为5个年龄组，对所得检测结果进行统计学分析。结果 657例受检者共有阳性267例，总感染率40.64%，单一感染率36.07%，单一CT感染14.00%，UU感染22.07%，CT合并UU感染率4.57%。不同年龄段中21～50岁三个年龄组感染率最高(分别44.28%、41.18%、43.90%)，21～30、31～40、41～50岁三个年龄组分别与≥51岁比较，差异有统计学意义(P<0.05)。此外，CT合并UU感染也主要分布在21～50岁，所有年龄组UU感染阳性率高于CT感染。结论 南充地区男性CT和UU的感染率均较高，以单一感染为主，尤其好发于21～50岁。加强CT和UU筛查，对性传播疾病防治、泌尿生殖系感染的诊疗和优生优育有重要意义。
关键词：解脲支原体；沙眼衣原体；泌尿生殖系感染；优生优育
, 百拇医药
中图分类号：R691.3；R446.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.061
文章编号：1006-1959(2018)01-0155-03
Study on the Infection of Ureaplasma Urealyticum and Chlamydia Trachomatis in the Male Genitourinary Tract of Nanchong Outpatient Clinic
ZHAO Jia，DU jing，WEI Jian-lin
(Laboratory of Inspection，Nanchong Central Hospital，Nanchong 637000，Sichuan，China)
, 百拇医药
Abstract：Objective To analyze the UU and CT infection and age distribution of male urogenital specimens in the outpatient clinic in Nanchong， and to strengthen the screening of male CT and UU in this area.Methods A total of 657 specimens of male urethral secretions from July 2014 to July 2017 were collected.UU and CT were measured by fluorescence PCR.All male subjects were divided into 5 age groups.The results were analyzed statistical analysis.Results A total of 267 cases were positive in 657 subjects with a total infection rate of 40.64%，a single infection rate of 36.07%，a single CT infection of 14.00%，UU infected 22.07%，CT combined UU infection rate 4.57%.The infection rates of the three age groups of 21-50 years old were the highest among different age groups(44.28%，41.18%，43.90% respectively)，and the age groups of 21-30，31-40，41-50 years old were respectively≥51 years old，the difference was statistically significant(P<0.05).In addition，CT-combined UU infection is also mainly distributed in 21 to 50 years old，UU infection in all age groups positive rate was higher than CT.Conclusion The prevalence rates of CT and UU in male patients in Nanchong area are high，with single infection predominating，especially in 21～50 years old.To strengthen the CT and UU screening，sexually transmitted diseases prevention and treatment，genitourinary infection diagnosis and treatment and prenatal and postnatal care is of great significance.
, 百拇医药
Key words：Ureaplasma urealyticum；Chlamydia trachomatis；Genitourinary infection；Prenatal and postnatal care
引起泌尿生殖系感染的常見性传播疾病病原菌包括淋球菌(n.gonorrhoeae，NG)、解脲支原体(ureaplasma urealyticum，UU)和沙眼衣原体(chlamydia trachomatis，CT)。NG引起淋病，而UU和CT最常见引起非淋菌性尿道炎(NGU)，其中CT感染是男性尿道炎最常见病因，未经治疗者多数转变成慢性，周期性加重，或者合并附睾炎、前列腺炎等，而女性可引起尿道炎、宫颈炎、输卵管炎和盆腔炎等，严重者甚至可引起流产、不孕不育等并发症[1]。此外，CT感染还可增加艾滋病病毒感染的机会，是重要的协同因素[2]。本文研究南充市657例门诊就诊男性UU和CT感染情况，对本区域男性泌尿生殖系感染的诊断和治疗以及不孕不育提供依据。, 百拇医药(赵佳 杜静 魏建林)
关键词：解脲支原体；沙眼衣原体；泌尿生殖系感染；优生优育
, 百拇医药
中图分类号：R691.3；R446.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.061
文章编号：1006-1959(2018)01-0155-03
Study on the Infection of Ureaplasma Urealyticum and Chlamydia Trachomatis in the Male Genitourinary Tract of Nanchong Outpatient Clinic
ZHAO Jia，DU jing，WEI Jian-lin
(Laboratory of Inspection，Nanchong Central Hospital，Nanchong 637000，Sichuan，China)
, 百拇医药
Abstract：Objective To analyze the UU and CT infection and age distribution of male urogenital specimens in the outpatient clinic in Nanchong， and to strengthen the screening of male CT and UU in this area.Methods A total of 657 specimens of male urethral secretions from July 2014 to July 2017 were collected.UU and CT were measured by fluorescence PCR.All male subjects were divided into 5 age groups.The results were analyzed statistical analysis.Results A total of 267 cases were positive in 657 subjects with a total infection rate of 40.64%，a single infection rate of 36.07%，a single CT infection of 14.00%，UU infected 22.07%，CT combined UU infection rate 4.57%.The infection rates of the three age groups of 21-50 years old were the highest among different age groups(44.28%，41.18%，43.90% respectively)，and the age groups of 21-30，31-40，41-50 years old were respectively≥51 years old，the difference was statistically significant(P<0.05).In addition，CT-combined UU infection is also mainly distributed in 21 to 50 years old，UU infection in all age groups positive rate was higher than CT.Conclusion The prevalence rates of CT and UU in male patients in Nanchong area are high，with single infection predominating，especially in 21～50 years old.To strengthen the CT and UU screening，sexually transmitted diseases prevention and treatment，genitourinary infection diagnosis and treatment and prenatal and postnatal care is of great significance.
, 百拇医药
Key words：Ureaplasma urealyticum；Chlamydia trachomatis；Genitourinary infection；Prenatal and postnatal care
引起泌尿生殖系感染的常見性传播疾病病原菌包括淋球菌(n.gonorrhoeae，NG)、解脲支原体(ureaplasma urealyticum，UU)和沙眼衣原体(chlamydia trachomatis，CT)。NG引起淋病，而UU和CT最常见引起非淋菌性尿道炎(NGU)，其中CT感染是男性尿道炎最常见病因，未经治疗者多数转变成慢性，周期性加重，或者合并附睾炎、前列腺炎等，而女性可引起尿道炎、宫颈炎、输卵管炎和盆腔炎等，严重者甚至可引起流产、不孕不育等并发症[1]。此外，CT感染还可增加艾滋病病毒感染的机会，是重要的协同因素[2]。本文研究南充市657例门诊就诊男性UU和CT感染情况，对本区域男性泌尿生殖系感染的诊断和治疗以及不孕不育提供依据。, 百拇医药(赵佳 杜静 魏建林)