妇科患者泌尿生殖道支原体属感染的高危因素研究

目的调查分析妇科患者泌尿生殖道支原体属感染的高危因素。方法选取2014年1月—2015年10月于孝感市中心医院妇科进行诊治的950例泌尿生殖道感染的患者为研究对象,将其泌尿生殖道支原体属感染的发病率进行统计,比较支原体属感染的患者不同年龄段、民族、职业、文化程度、孕产史、是否伴有淋病感染、不洁性史、性交次数过多等因素的发生率及构成比,并行Logistic回归分析。结果 1 950例泌尿生殖道感染的患者中有320例患者为支原体属感染,发病率为33.68%。其中21~40岁年龄段、无职业、文化程度较低、孕产次数较多、伴有淋病感染、具有不洁性史及性交次数过多的患者较其他患者发病率普遍较高,以上差异均具有统计学意义(P0.05)。2经Logistic回归分析发现,伴有淋病、不洁性史与性交次数过多为支原体属感染的独立危险因素(P0.05),而年龄、文化程度及孕产史也与支原体属感染密切相关(P0.05)。而民族、职业无明显相关性(P0.05)。结论淋病、不洁性史、性交次数过多、年龄、文化程度及孕产史均为妇科患者泌尿生殖道支原体属感染的高危因素,可根据以上因素进行针对性干预以降低支原体属的泌尿生殖道感染率。

Investigation of High Risk Factors in Gynecological Patients With Genitourinary Tract Mycoplasma Infection Abstract

Objective Investigate and study the high risk factors in gynecological patients with genitourinary tract mycoplasma infection.Methods In this study, 950 cases of gynecological patients with genitourinary tract mycoplasma infection were selected as targets.Their morbidity was collected and their age range, nation, occupation, degree of education, history of pregnancy, situation of gonorrhea infection, history of impurity sex were analyzed by logistic regression.Results ①Among the 950 cases of patients, 320 cases were proved to be mycoplasma infection.The morbidity is 33.68%.The patients who have a higher morbidity have following features: in the age range from 21 to 40; without regular occupation, low degree of education, many times of pregnancy, with gonorrhea infection.The difference is obvious and it has a statistical significance ( P<0.05) .②After logistic regression analysis, we found that gonorrhea infection, impurity sex and excessive sexual intercourse are independent risk factors for mycoplasma infection ( P<0.05 ) .There are no relationships with nation and occupation ( P>0.05 ) . Conclusion Gonorrhea infection, impurity sex, excessive sexual intercourse, age range, degree of education and history of pregnancy are high risk factors for gynecological patients with genitourinary tract mycoplasma infection.We can reduce the morbidity by targeted intervention on above factors.