1996～2003年上海市某医院泌尿生殖道分泌物标本性病检测结果分析

目的了解上海市近几年性病门诊就诊者中淋球菌(NG)、沙眼衣原体(CT)和解脲脲原体(UU)的流行趋势和特征，探讨可能的影响因素，为制定和开展有效的防治措施提供参考。方法收集1996～2003年到上海市皮肤病性病医院性病门诊就诊，并进行泌尿生殖道分泌物标本性病检测者的人口学特征和检测结果等资料，进行统计学描述和分析。结果在此期间共有66658人接受检查，其中NG阳性18348例(35．8％)，CT阳性7048例(18．1％)，NG和CT阳性人数和阳性率在1997年和1998年达高峰，之后下降，近年又开始上升。UU阳性6673例(37．4％)，其阳性人数和阳性率则基本上呈逐年上升趋势。混合阳性率最高的是CT和UU(14．2％)，最低的是NG和UU(8。7％)。女性NG阳性者中的CT阳性率(35．7％)和CT阳性者中的NG阳性率(27．2％)，分别高于所有受检者对应的阳性率(20．4％和19．6％)，男性情况相反。结论上海地区性病流行谱正在发生改变，女性UU感染人数明显增多；近年来NG、CT和UU的混合感染率处于较高水平，尤其是低龄女性；NG和CT的混合感染情况应该引起重视。

Infections with NG,CT or UU among the people attending STD clinic in a Shanghai hospital for dermatology and sexually transmitted diseases during the years from 1996 to 2000

Objective To explore the prevalence of NG, CT or Uu infections in STD clinic attendants in Shanghai in recent 8 years.Methods The information on attendants including laboratory diagnosis,age and gender was collected and analyzed.Results During the years from 1996 to 2000,among the 66*!658 persons receiving laboratory tests in the Shanghai Hospital for Dermatology and STIs 18*!348 people were infected with NG(35.8%),7*!048 with CT(18.1%)and 6*!673 with UU(37.4%)and the positive rates of UU became higher in recent years.The rate of CT-UU co-infection(14.2%)appeared to be the highest,the rates of NG-UU co-infection(8.7%)was relatively low and the rate of NG-CT-UU co-infection was 2.2%.Among the female attendants with NG,the positive rate of CT infection(35.7%)was higher than that(20.4%)of all the female attendants,and similarly,among the female attendants with CT,the positive rate of NG infection(27.2%)was higher than that(19.6%)of all the female attendants,but among the male attendants,the results were on the reverse.Conclusion The epidemic spectrum of STD in Shanghai is changing gradually.The rates of co-infection are high,and the co-infection with NG-CT frequently happened among the younger female attendants than others.