北京市丰台区方庄地区性病流行病学调查研究(1)
【摘要】对2013年11月至2014年10月期间于北京中医药大学东方医院性病化验室进行检测的北京市丰台区方庄地区2035例患者，进行流行病学调研，其中最小年龄10岁，最大年龄92岁；1012人报告职业，占总数497%；未报告职业1023人，占总数503%；325人次检测泌尿生殖道快速淋球菌涂片，诊断淋病57人次，发病率56%。513人次泌尿生殖道衣原体，诊断衣原体性尿道炎23人次，衣原体性宫颈炎7人次，发病率58%。1013人次检测血清梅毒特异性抗体、快速梅毒反应素试验，诊断梅毒(一期)10人次，梅毒(二期)85人次；对梅毒特异性抗体阳性、快速梅毒反应素试验阴性人员按梅毒感染人员监测血清，发病率94%。128人次检测血清单纯疱疹II型IgG、IgM，诊断生殖器疱疹6人次，发病率47%。5人次检查醋酸白试验，诊断尖锐湿疣5人次。670人次检测泌尿生殖道支原体培养，诊断支原体性宫颈炎35人次，支原体性尿道炎84人次，发病率178%。支原体性泌尿生殖道感染以Uu感染为主，女性诊断支原体性宫颈炎不仅培养支原体阳性，还要结合女性患者有白带增多、下腹坠胀、宫颈分泌物增多、宫颈口红肿等症状及体征。在诊断明确的情况下，要根据支原体鉴定及药敏的结果选择合适的药物，避免支原体耐药问题产生。
【关键词】梅毒；支原体性宫颈炎；淋病；尖锐湿疣；生殖器疱疹
Epidemiology of sexually transmitted diseases at fangzhuang in fengtai district ofBeijingLI Nan1， JIANG Jing1， LIN Hongchun2， NIE Jing1， LI Yuanwen1， ZHOU Zhiqiang1， ZHAO Yajing1. 1. Department of Dermatology & STD， Dongfang Hospital of Beijing University of Chinese Medicine， Beijing 100078， China； 2. Department of Lung Disease， Changping District Hospital of Traditional Chinese Medicine， Beijing 102200， China
【Abstract】2035 patients at STD laboratory in Department of Dermatosis and Cypridopathy of Dongfang Hospital from November 2013 to October 2014 were investigated for epidemiological investigation. The youngest patient was 10 years old， while the oldest was 92 years old. The occupations of 1012 patients were known， accounting for 49.7%， while those of the rest were not known (1023， 503%). Of the 325 patients that were detected with rapid smear of the urinary tract， 57 ones were diagnosed with gonorrhea， an incidence of 5.6%. Of the 513 people detected by the genital tract Chlamydia， 23 ones were diagnosed with chlamydia urethritis and 7 people were diagnosed with chlamydia cervicitis， an incidence of 5.8%. Of the 1013 people received serum specific antibody of syphilis and syphilis rapid reaction hormone test， 10 people were diagnosed with syphilis (phase I) and 85 people of syphilis (phase II). Persons of syphilis specific antibody positive and syphilis rapid reaction hormone test negative were detected again with serum test， and the incidence was 9.4%. Of the 128 people detected with HSV-II IgG and IgM， 6 persons were diagnosed with herpes progenitalis， an incidence of 4.7%. 5 people received the acetic acid white test， and all the 5 people were diagnosed with condyloma. Among the 670 people detected by the mycoplasma culture of urogenital tract secretion， 35 persons were diagnosed with mycoplasma cervicitis， and 84 ones were diagnosed with mycoplasma urethritis， an incidence was 17.8%. Uu infection was the main infection in the genital tract infections of mycoplasma. For female patients diagnosed with mycoplasma cervicitis， they should be detected by mycoplasma culture and also their symptoms including increased leucorrhea， ventral belly， increased cervical secretions， cervical inflammation and others. Appropriate medicine should be chosen according to the drug sensitivity of mycoplasma， to avoid the problem of drug resistance., http://www.100md.com(李楠 蒋静 林鸿春 聂晶 李元文 周志强 赵雅静)
【关键词】梅毒；支原体性宫颈炎；淋病；尖锐湿疣；生殖器疱疹
Epidemiology of sexually transmitted diseases at fangzhuang in fengtai district ofBeijingLI Nan1， JIANG Jing1， LIN Hongchun2， NIE Jing1， LI Yuanwen1， ZHOU Zhiqiang1， ZHAO Yajing1. 1. Department of Dermatology & STD， Dongfang Hospital of Beijing University of Chinese Medicine， Beijing 100078， China； 2. Department of Lung Disease， Changping District Hospital of Traditional Chinese Medicine， Beijing 102200， China
【Abstract】2035 patients at STD laboratory in Department of Dermatosis and Cypridopathy of Dongfang Hospital from November 2013 to October 2014 were investigated for epidemiological investigation. The youngest patient was 10 years old， while the oldest was 92 years old. The occupations of 1012 patients were known， accounting for 49.7%， while those of the rest were not known (1023， 503%). Of the 325 patients that were detected with rapid smear of the urinary tract， 57 ones were diagnosed with gonorrhea， an incidence of 5.6%. Of the 513 people detected by the genital tract Chlamydia， 23 ones were diagnosed with chlamydia urethritis and 7 people were diagnosed with chlamydia cervicitis， an incidence of 5.8%. Of the 1013 people received serum specific antibody of syphilis and syphilis rapid reaction hormone test， 10 people were diagnosed with syphilis (phase I) and 85 people of syphilis (phase II). Persons of syphilis specific antibody positive and syphilis rapid reaction hormone test negative were detected again with serum test， and the incidence was 9.4%. Of the 128 people detected with HSV-II IgG and IgM， 6 persons were diagnosed with herpes progenitalis， an incidence of 4.7%. 5 people received the acetic acid white test， and all the 5 people were diagnosed with condyloma. Among the 670 people detected by the mycoplasma culture of urogenital tract secretion， 35 persons were diagnosed with mycoplasma cervicitis， and 84 ones were diagnosed with mycoplasma urethritis， an incidence was 17.8%. Uu infection was the main infection in the genital tract infections of mycoplasma. For female patients diagnosed with mycoplasma cervicitis， they should be detected by mycoplasma culture and also their symptoms including increased leucorrhea， ventral belly， increased cervical secretions， cervical inflammation and others. Appropriate medicine should be chosen according to the drug sensitivity of mycoplasma， to avoid the problem of drug resistance., http://www.100md.com(李楠 蒋静 林鸿春 聂晶 李元文 周志强 赵雅静)