摘要
目的:了解未婚人工流产青少年生殖道解脲支原体(UU)和沙眼衣原体(CT)的感染率,分析UU的易感因素。方法:对161例未婚人工流产青少年分别采用荧光定量PCR测定宫颈管分泌物UU、CT,并对其进行问卷调查,采用单因素、多因素Logistic回归方法分析UU的易感因素。结果:161例未婚人工流产青少年UU、CT阳性率分别为73.9%、23.0%。多因素Logistic回归分析,UU的易感因素为:CT阳性(OR=6.393,95%CI2.052～19.916);无避孕或非屏障避孕(OR=5.091,95%CI1.863～15.071);重复流产(OR=3.768,95%CI1.544～14.720)。结论:未婚人工流产青少年UU、CT检出率较以往报道正常体检人群检出率偏高,UU感染与CT阳性、无避孕或非屏障避孕及重复流产有关,有必要在人工流产前进行常规检查,以进行相应诊治。
Objective：To detect the genital Ureaplasma urealyticum（UU） /Chlamydia trachomatis（CT） infection rates and investigate the risk factors of UU infection among unmarried artificial abortion adolescents.Methods：Cervical UU/CT infection rates were checked by fluorescent quantitative PCR（FQ-PCR）in 161 unmarried adolescents who wanted induced abortion in the sixth affiliated hospital of Sun Yat-sen university from October 2008 to December 2009.Questionnaires to find out the risk factors of UU infection were done at the same time,the results were analyzed by univariate,multivariate logistic regression.Results：The positive rates of UU and CT were 73.9% and 23.0% in the study group.The risk factors of UU infection were coinfection of CT（OR=6.393,95%CI 2.052～19.916）,no use of contraception or non-barrier contraception（OR=5.091,95%CI 1.863～15.071）and repeated abortion（OR=3.768,95%CI 1.544～14.720）.Conclusions：The positive rates of UU/CT infection in unmarried artificial abortion adolescents are higher than those in healthy women reported before.The UU infection is connected with coinfection of CT,no use of contraception or non-barrier contraception and repeated abortion.It is necessary to carry out conventional examination of UU/CT infection before artificial abortion to adapt a proper treatment.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2011年第3期233-235,共3页
Journal of Practical Obstetrics and Gynecology
关键词
青少年
妊娠
解脲支原体
沙眼衣原体
Adolescents
Pregnancy
Ureaplasma urealyticum
Chlamydia trachomatis
