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目的 :了解我国育龄妇女下生殖道炎症者人型支原体 (Mh)感染状况 ,并探讨淋病患者和非淋病患者Mh感染状况。方法 :应用套式PCR技术 ,对 15 4例下生殖道炎症患者的宫颈拭子进行了Mh检测。其中 77例患者进行了淋球菌培养和Mh套式PCR配对检测。结果 :15 4例育龄妇女患者中 5 1例Mh阳性 ,阳性率达 33 .1% ;77例配对检测者中 ,45例淋球菌阳性者Mh检出率高达 5 5 .6 % ,而 32例淋球菌阴性者Mh检出率仅为 9.4% (P <0 .0 0 1)。相对危险性RR值达 12 0。结论 :Mh已是我国育龄妇女下生殖道炎症的常见病原体。淋球菌感染的妇女更易受到Mh的侵袭。由于育龄妇女Mh感染可致输卵管妊娠、不孕不育 ,甚至母婴传播导致新生儿疾病 ,因此 ,高Mh的感染率应引起足够重视。
Objective: To understand the infection status of Mycoplasma hominis (Mh) in reproductive tract inflammation women of childbearing age in our country and to explore the status of Mh infection in gonorrhea patients and non-gonorrhea patients. Methods: The cervical swabs of 15 4 patients with lower genital tract inflammation were examined by nested PCR. 77 of them were tested with Neisseria gonorrhoeae culture and Mh-nested PCR. Results: Of the 154 women of childbearing age, 51 were positive for Mh and the positive rate was 33.1%. Out of 77 matched controls, 45 cases were positive for Mh. The detection rate of Mh was 55.6%, while 32 cases Neisseria gonorrhoeae negative Mh detection rate was only 9.4% (P <0. 001). Relative risk RR value of 12 0. Conclusion: Mh is a common pathogen of lower genital tract inflammation in Chinese women of childbearing age. Neisseria gonorrhoeae women are more likely to be affected by Mh. As women of childbearing age Mh infection can cause tubal pregnancy, infertility, and even mother-to-child transmission of neonatal disease, therefore, high Mh infection rate should cause enough attention.