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目的了解妇科门诊阴道分泌物异常就诊者生殖道感染状况,为制订妇女性病艾滋病干预计划提供基础信息。方法对2004年1~12月上海市闸北区妇幼保健所和宁波市海曙区马园卫生院妇科门诊,主诉阴道分泌物异常的1 565例初诊病例进行生殖道感染调查。结果上海、宁波本地户口病例753例,以无待业、工人居多;外地812例,以工人、服务员居多。3.9%的人近3个月有1个以上新性伴,8.1%的人经常使用安全套。60.2%(942例)有生殖道感染。12.6%(197例)合并2~4种感染,多为外地病例。检出率最高的是细菌性阴道病(23.2%),其次是衣原体感染(16.7%)。外地病例淋菌感染检出率(5.3%)、近3个月有1个以上新性伴的比例(6.8%)、初中以下文化的比例(87.2%),均高于当地病例(43.6%)。经常使用安全套的比例(3.2%)低于当地病例(13.3%)。结论妇科门诊就诊者以常见生殖道感染居多。法定报告的性病(淋菌和衣原体感染)占一定比例,应引起足够重视。外地病例合并生殖道感染较多,安全套使用率低,存在较多传播性病艾滋病的危险因素。应针对她们文化程度较低的特点和对生殖健康的需求,加强有关性病艾滋病防治的宣传和咨询,积极开展生殖道感染预防、性病诊疗、安全套促进和行为干预工作。
Objective To understand the prevalence of genital tract infection in women with vaginal discharge in gynecology clinics and provide basic information for formulating women’s HIV / AIDS intervention programs. Methods A total of 1 565 newly diagnosed cases of abnormal vaginal discharge in gynecological clinic of Mobei Health Center of Zhabei District and Mudan Hospital of Ningbo City from January to December 2004 were investigated. Results There were 753 cases of local hukou in Shanghai and Ningbo. Most of them were unemployed and most of them were workers. There were 812 cases in other places, mostly workers and attendants. 3.9% of people have more than one new partner in the past three months, and 8.1% often use condoms. 60.2% (942 cases) had genital tract infection. 12.6% (197 cases) with 2 to 4 infections, mostly in the field. The highest rates were bacterial vaginosis (23.2%), followed by chlamydia (16.7%). The detection rate of gonorrhea in field cases (5.3%), the proportion of more than one new sexual partners in the past three months (6.8%) and the junior high school (87.2%) were higher than the local cases (43.6%). The proportion of regular condom users (3.2%) was lower than that of local cases (13.3%). Conclusions Gynecological outpatient visits mostly reproductive tract infections. Statutory reports of sexually transmitted diseases (gonorrhea and chlamydia infection) accounted for a certain proportion, should cause enough attention. There are more cases of reproductive tract infections combined with low condom use rates in other cities. There are more risk factors for HIV / AIDS transmitted from STDs. In light of their low educational level and their need for reproductive health, they should step up publicity and consultation on STD and AIDS prevention and treatment and actively carry out prevention and treatment of reproductive tract infections, STD clinics, condom promotion and behavioral interventions.