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目的:在不孕不育患者中开展解脲支原体(UU)和沙眼衣原体(CT)检测已成为临床常规,了解其流行病学特征,对指导新疆不孕不育疾病防治意义重大。方法:对我所2008～2010年门诊年龄24～37岁的4092例相对不孕不育患者进行调查,其中汉族3109例(女2219/男890),少数民族983例(女750/男233)。采用宫颈分泌物、男性尿道分泌物和精液,分别进行CT诊断鉴定和UU培养。结果:UU感染率少数民族54.10%,汉族49.10%,少数民族高于汉族(χ2=7.67,P<0.05)。CT感染率汉族8.9%,少数民族10.4%,二者无显著差异;在女性患者中(汉族2219/少数民族750),少数民族UU感染率57.60%,汉族50.50%,少数民族高于汉族(χ2=11.42,P<0.01)。在男性患者中(汉族890/少数民族233),汉族UU感染率45.50%,少数民族感染率42.90%,二者无显著差异;男性CT感染率少数民族9.40%,汉族5.20%,少数民族高于汉族(χ2=5.93,P<0.05),差异显著。结论:新疆不孕不育患者UU和CT感染存在民族和性别差异。
OBJECTIVE: To carry out the detection of UU and CT in infertile patients has become a routine clinical practice. To understand its epidemiological characteristics is of great significance in guiding the prevention and treatment of infertility diseases in Xinjiang. Methods: A total of 4092 inpatients with relative infertility aged 24 to 37 years from 2008 to 2010 in our hospital were investigated, including 3109 Han (8199 males and 890 males), 983 minorities (female 750 / male 233) . Cervical secretions, male urethral secretions and semen were used for CT diagnosis and UU culture. Results: The prevalence of UU infection was 54.10% in ethnic minorities and 49.10% in Han nationality, and the minority was higher than Han nationality (χ2 = 7.67, P <0.05). Among the female patients (Han 2219 / Minority 750), the prevalence of UU infection was 57.60% for Han nationality and 50.50% for Han nationality, and the prevalence rate of ethnic minorities was higher than that of Han nationality (χ2 = 11.42, P <0.01). In male patients (Han 890 / ethnic minorities 233), the prevalence of UU infection in Han was 45.50% and that of ethnic minorities was 42.90%. There was no significant difference between the two groups. The rate of CT infection in males was 9.40%, Han nationality was 5.40% Han (χ2 = 5.93, P <0.05), the difference was significant. Conclusion: There are ethnic and gender differences in UU and CT in infertility patients in Xinjiang.