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目的:了解贵阳市汉族及农村少数民族妇女宫颈沙眼衣原体(Chlamydia trachomatis,Ct)的携带率现况,并分析影响因素及病原学检查与临床表现的关系。方法:用随机抽样的方法选取贵阳市健康体检妇女155例,贵州省正安县谢坝乡、市坪乡农村少数民族妇女183例(苗族,仡佬族),采集宫颈分泌物,采用胶体金技术抗原检测法检测。结果:城市汉族155例中阳性检出率为2.58%(4例),农村183例中Ct阳性检出率为14.2%(26例),其中仡佬族检出率为14.9%(18例),苗族检出率为12.9%(8例)。结论:贵州农村少数民族妇女生殖道Ct阳性检出率明显高于城市妇女Ct阳性检出率(P<0.05),Ct阳性检出率与城乡、产次、避孕措施、经济状况等有关,与年龄、孕次、阴道宫颈充血、宫颈糜烂、痛经、白带性状等症状体征无关。
Objective: To investigate the prevalence of cervical Chlamydia trachomatis (Ct) in Han nationality and rural minority women in Guiyang, and to analyze the influence factors and the relationship between pathogenic examination and clinical manifestations. Methods: A total of 155 healthy women in Guiyang City, 183 women (Miao and Mulao ethnic groups) from Xiban Township, Zheng’an County, Guizhou Province and 183 ethnic minority women from Shiping Township were selected by random sampling method. Cervical secretions were collected and purified using colloidal gold technique Detection method testing. Results: The positive rate of 155 cases in urban Han was 2.58% (4 cases). The positive rate of Ct in rural area was 14.2% (26 cases), the detection rate of Gelao was 14.9% (18 cases) Miao detection rate was 12.9% (8 cases). Conclusion: The positive rate of Ct positive in reproductive tract of rural ethnic minority women in Guizhou was significantly higher than that of urban women (P <0.05). The positive rate of Ct was related to urban and rural areas, parity, contraceptive measures and economic status, Age, pregnancy times, vaginal cervix congestion, cervical erosion, dysmenorrhea, vaginal discharge symptoms and other symptoms has nothing to do.