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郭平  潘鹏  蔡于茂  罗斌  彭绩  洪福昌  周华 《微创医学》2005,24(2):153-155
目的探讨在女性性服务工作者(FCSW)人群中,沙眼衣原体、奈瑟氏淋病双球菌、梅毒、单纯疱疹病毒和人类乳头瘤病毒感染是否是乙型和丙型肝炎病毒感染的独立危险因素.方法以深圳市妇女收容教育所新收教FCSW为研究对象,按血清中HBsAg和Anti-HCV的结果进行分组,设置人群内对照,进行病例对照研究.结果经Logistic多因素分析,乙型肝炎组中单纯疱疹病毒感染项χ2=4.204(Wald),P=0.040,有统计学意义,Exp(β)=4.084(95.0%CI1.064~15.677);丙型肝炎组中单纯疱疹病毒感染项χ2=5.137(Wald,P=0.023,有统计学意义,Exp(β)=8.554(95.0%CI1.337~54.740).结论在FCSW中,单纯疱疹病毒感染是HBV和HCV感染的独立危险因素,其比数比OR分别为4.084和8.554.  相似文献   

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卜平 《医学动物防制》2010,(7):616-617,620
为了减少和积极地防治妇女生殖疾病。学术会议、书籍和近年的公开发行的。结合自己在妇科临床上遇到的女性生殖健康与疾病的相关问题,阐述性病与妇女生殖疾病的关系和防治措施。  相似文献   

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性传播疾病与乙型和丙型肝炎病毒感染的Logistic分析   总被引:1,自引:0,他引:1  
目的探讨在女性性服务工作者(FCSW)人群中,沙眼衣原体、奈瑟氏淋病双球菌、梅毒、单纯疱疹病毒和人类乳头瘤病毒感染是否是乙型和丙型肝炎病毒感染的独立危险因素。方法以深圳市妇女收容教育所新收教FCSW为研究对象,按血清中HBsAg和Anti-HCV的结果进行分组,设置人群内对照,进行病例对照研究。结果经Logistic多因素分析,乙型肝炎组中单纯疱疹病毒感染项:χ2=4.204(Wald),P=0.040,有统计学意义,Exp(β)=4.084(95.0%CI:1.064~15.677);丙型肝炎组中单纯疱疹病毒感染项:χ2=5.137(Wald,P=0.023,有统计学意义,Exp(β)=8.554(95.0%CI:1.337~54.740)。结论在FCSW中,单纯疱疹病毒感染是HBV和HCV感染的独立危险因素,其比数比OR分别为4.084和8.554。  相似文献   

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动机性访谈对性传播感染的家庭认知行为干预研究   总被引:1,自引:0,他引:1  
目的 针对妇女性传播感染的影响因素,从家庭层面探析动机性访谈的干预效果.方法 采用动机性访谈中询问、告知和倾听等核心技术,以家庭为单元,对农村妇女及其配偶的相关生殖健康行为进行干预.结果 干预后农村妇女及其配偶性传播感染相关行为的发生率与干预前相比,均显著降低,差异有统计学意义(P<0.05);但男性的行为反馈率明显低于女性,差异有统计学意义(P<0.01),男性依从性较差.结论 以社区家庭为基本单元,采用动机性访谈技术对农村夫妇进行认知行为干预,是改善性传播感染相关行为的有效措施;妇女性传播感染的预防与控制应充分考虑其配偶的参与和责任.  相似文献   

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Background

Sexually Transmitted Infections (STIs) are a major public health problem the world over. This study was aimed at analyzing the trends of STIs in a 33 year period at a tertiary care service hospital.

Methods

A retrospective data analysis was done of all the cases diagnosed as STIs during a 33 year period from 1974 to 2006.

Result

A total of 4532 STIs were seen in 4215 males. The commonest STI was chancroid (37.2%), followed by syphilis (16.2%). The commonest age group involved was the 21-30 year group (57.6 %). STIs declined from a total of 311 cases in 1974 to seven cases in 2006. This trend was mirrored in all major STIs. Multiple STIs were seen in 317 (07.5%) cases.

Conclusion

The frequency of STIs has shown a distinctly decreasing trend from over the last 33 years.Key Words: Sexually transmitted infections, Trends  相似文献   

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目的了解性病门诊中,女性患者以生殖器溃疡为主要表现的疾病的病因。方法根据病史、临床表现,结合暗视野显微镜检查、梅毒血清学试验,PCR检测HSV-DNA等进行诊断。结果96例女性生殖器溃疡性疾病患者中,梅毒22例,占22.9%;生殖器疱疹30例,占31.3%;梅毒和生殖器疱疹混合感染2例,占2.1%;疑诊软下疳2例,占2.1%;白塞氏综合症5例,占5.2%;急性女阴溃疡6例,占6.3%;29例未能明确诊断,占30.2%。结论女性生殖器溃疡性疾病患者中,病因以生殖器疱疹、梅毒占多,软下疳少见。  相似文献   

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用第二代酶免疫试剂对208位性乱个体进行血清丙型肝炎病毒抗体(抗-HCV)的检测,107位献血员作对照,并结合部分乙肝病毒血清标志(HBVM)进行分析和比较。结果抗-HCV总阳性率为8.65%(18/208),伴有性病者阳性率12.73%(14/110),不伴性病者4.1%(4/98),对照组抗-HCV阳性率1.87%(2/107)。18例抗-HCV阳性血清中检出乙肝病毒表面抗原(HBsAg)及核心抗体(抗-HBc)13例(72.2%),未发现抗-HCV阳性与年龄、性别相关。结果提示,性乱个体中有着不可忽视的HCV感染率,感染的危险因子似与性病及HBV感染有关。  相似文献   

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目的调查广州地区不同人群女性性传播感染(STI)的流行现状。方法由调查员进行现场问卷调查,采集血液进行HIV、RPR/TPPA、HSV-2抗体检测,采集白带涂片检测白念珠菌、阴道加特纳菌、阴道毛滴虫;宫颈拭子培养萘瑟氏淋病双球菌(GC)、沙眼衣原体(CT)、脲原体(UU)。结果共调查788例不同人群组的女性。流动女工STI总体感染率为41.6%,位居前3位的病原体感染分别为UU(25.1%)、HSV-2(14.9%)、CT(6.2%);妇科门诊人群总体STI感染率为71.1%,位居前3位分别为UU(41.5%)、HSV-2(18.7%)、CT(11.1%);暗娼STI总体感染率为90.1%,前3位感染分别为UU(74.6%)、HSV-2(47.5%)、阴道白念珠菌(17.8%),其它依次为加特纳菌(14.9%)、TP(14.9%)、CT(14.4%)。除了门诊组及暗娼组分别发现1例HIV感染,差异无统计学意义外,不同组间STI感染差异均有统计学意义。结论广州地区3组女性人群中,位居前2位的STI感染率分别为UU(25.1%~74.6%)、HSV-2(14.9%~47.5%),CT感染率为6.2%~14.4%。...  相似文献   

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Objective To evaluate the impacts of reproductive tract infections (RTIs) intervention on RTIs-related knowledge, attitudes, practices and prevalence of married women at reproductive age. Methods Four sub-districts from Xuhui district, Shanghai were selected by multistage cluster random sampling and residence committees were randomly assigned to either an intervention group or a control one. RTIs intervention was implemented in intervention group, while routine family planning program was conducted in control group. Results Compared with control group, intervention group have improved the following targets: the increment of RTI knowledge score was higher than that in control group (OR=9. 22, 95%CI: 7.01 - 2.14); the increment score of individual health behaviors (6. 31) was higher than that in control group (4.50) (OR=1.60, 95%CI: 1.21 -2.10); the increase of condom use frequency in intervention group was higher than that in control group (4.12% vs 0.69%) (OR=1.84, 95%CI: 1.31-2.57); the decreased RTIs rate was higher than that in control group (7.45% vs 0.96%) (OR=0.68, 95%CI: 0.49-0.95). Conclusion It is an effective way to conduct community-based intervention to increase women's RTIs knowledge, improve RTIs-related attitudes, promote good individual health behaviors, so as to decrease RTIs prevalence.  相似文献   

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2005-2010年北京市女性常见性传播疾病监测状况分析   总被引:1,自引:0,他引:1  
目的 了解北京近年女性常见性传播疾病(STD)流行特征及规律,为制定有效的防治措施提供依据.方法 采用回顾性方法对2005-2010年北京市18个区县妇幼保健医疗机构上报的医院门诊生殖道感染性疾病报表进行统计分析.结果 2005-2010年北京18个区县妇幼保健医疗机构门诊就诊的女性,STD患病率呈下降趋势,年平均递减速度为20.73%,其中梅毒呈增长趋势,年平均增长速度为1.15%.患病率分别为:尖锐湿疣1.54‰~4.85‰、衣原体0.45‰~4.70‰、梅毒0.16‰~0.61‰、淋病0.04‰~0.15‰;不同区域中城区STD呈下降趋势,年平均递减速度为20.03%;尖锐湿疣呈增长趋势,年平均增长速度为16.36%;梅毒年平均递减速度为100.00%.STD在远郊、近郊区呈下降趋势,年平均递减速度分别为10.59%、27.32%.计划生育门诊中STD呈增长趋势,年平均增长速度为77.86%;梅毒年平均增长速度为270.84%.性病、妇科门诊STD年平均递减速度分别为1.86%、10.17%.妇科、婚检科梅毒呈增长趋势,年平均增长速度分别26.58%、1.92%.结论 北京市女性常见STD的防治应根据不同区域、不同的门诊采取相应的防治措施,加强STD的综合预防.  相似文献   

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性病患者求医行为特征及影响因素   总被引:3,自引:0,他引:3  
旨在探讨性病患者求医行为特征及影响因素,文章通过对328例性病患者进行问卷调查,结果表明:性病患者心态变化主要为恐惧及担心治愈困难、毁誉、传染于女或配偶及癌变;性别、文化程度、疾病认知水平、夫妻和谐程度及广告媒传为正确求医行为的主要影响因素。本文就有关因素进行了分析讨论。  相似文献   

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张奕全 《实用医技杂志》2007,14(27):3722-3724
目的:研究慢性前列腺炎与病原菌的关系,探讨前列腺液病原菌检测的诊断价值及其临床意义。方法:应用试剂盒进行检测,选择105例性病相关性慢性前列腺炎患者分析研究,同时检测沙眼衣原体和解脲脲原体。结果:105例中有83例分离出细菌,阳性率为79%,,以葡萄球菌、解脲支原体、沙眼衣原体为主。分离出的细菌对临床常用抗生素的耐药率较高,金黄色葡萄球菌对头孢曲松钠、头孢唑啉的敏感性较高;对罗红霉素的敏感性居中。淋病双球菌对头孢曲松钠敏感性较高;对头孢唑啉及罗红霉素的敏感性居中。解脲支原体对罗红霉素、红霉素敏感性较高;对阿奇霉素敏感性居中;对氧氟沙星敏感性较低。结论:进行病原体分析有助于性病相关性慢性前列腺炎患者的治疗。  相似文献   

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2020年新型冠状病毒席卷全球,有研究显示,患有糖尿病的老年人更易受到感染,且重症率和病死率更高,但具体原因尚不清楚。本研究检索近年来的相关文献,发现其可能与糖尿病患者的肺形态及功能改变、细胞免疫和体液免疫缺陷、血管紧张素转化酶2、肥胖和炎性因子、高凝状态、氧化应激和糖基化、年龄等因素有关,但是否是糖尿病本身增加了其易感性,尚需进一步研究证实。  相似文献   

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Objective To assess the impact of pamphlet distribution and counseling on STI/HIV/condom knowledge, attitudes towards STI / AIDS patients and condom use intention of married couples in Shanghai and explore the effective way of integrating STI/HIV prevention with family planning services.Methods Four hundred and five married women aged 20~39 and their husbands were recruited from 14 family planning stations at 7 administrative districts of Shanghai. They were randomly divided into two groups, the counseling intervention (CI) group with 199 couples and the pamphlet distribution (PD) group with 206 couples. For the PD group, only pamphlets containing information on STI/AIDS/ condom were distributed and condoms given free of charge, whereas for the CI group,they were provided with not only full counseling on STI /AIDS /condom and free condoms, but also followed by demonstration of correct condom use. The two modes of interventions were conducted following the baseline survey, and the follow-up data were collected one month later.Results 1. There was no statistical difference between the two groups on STI/AIDS/condom knowledge level, attitudes towards STI /AIDS patients and condom use intention at the baseline. 2. The follow-up findings indicated that: ① A significant enhancement in knowledge level was observed in the CI group, with 20% increase for husbands and 24% for wives. While for the PD group, only slight increase was observed : 2% for husbands and 3% for wives ; ② 93% husbands and 76% wives of the CI group changed their discriminatory attitudes towards STI patients, and towards AIDS patients, the percentages were 73% and 78%, respectively; ③ 68% husbands and 64% wives of the CI group expressed their intention for condom use; ④ For the PD group, however, there was no difference in attitudes towards STI/AIDS patients and condom use intention at the baseline and follow-up. 3. The knowledge scores and attitudes towards STI/AIDS patients were mainly influenced by the means of intervention. While the intention of condom use was influenced not only by means of intervention but also by condom availability.Conclusions 1. Good counseling can not only greatly enhance people‘s STI/AIDS/condom knowledge level but also apparently change their discrminatory attitudes towards STI/AIDS patients; 2. Effective counseling and condom availability are two important factors that influence condom use intention; 3. It is effective and feasible to integrate counseling with the routine procedure of family planning services, hence is worth being scaled up in Shanghai or even nationwide.  相似文献   

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目的探讨宫外孕患者盆腔粘连的相关因素及与盆腔粘连程度的关系。方法选择接受腹腔镜治疗的合并不同程度的盆腔粘连宫外孕患者160例,根据盆腔粘连致密程度、粘连范围、有无直肠窝封闭、双侧输卵管是否与周围组织粘连及输卵管是否闭锁等进行评分。根据评分分组:轻度粘连组102例,中度粘连组44例,重度粘连组14例,对照组124例为同期接受腹腔镜手术,术中未发现盆腔粘连的宫外孕患者。结果(1)不同程度盆腔粘连患者的盆腹腔手术史发生率均显著高于对照组(46.1%,56.8%,57.1%,13.7%,P〈0.01)。(2)流产发生率粘连组,轻度粘连,和重度粘连显著高于对照组(65.O%,70.6%,57.1%,45.1%,P〈0.01)。(3)节育环发生率轻度粘连组显著高于对照组(14.7%,6.45%,P〈0.05),但粘连组节育环发生率与对照组无明显差异(10.6%,6.45%,P〉0.05)。(4)腹腔镜下诊断盆腔子宫内膜异位症的发生率,粘连组、轻度粘连和中度粘连均高于对照组(13.7%,12.82%,15.9%,P〈0.05)。结论手术损伤、流产、节育环及盆腔子宫内膜异位症是造成宫外孕患者盆腔粘连的重要因素,并与盆腔粘连程度密切相关。  相似文献   

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目的:了解青年乳腺癌患者生活质量及其影响因素,为提高患者生活质量奠定基础.方法:选取经诊断为乳腺癌的78例青年女性作为研究对象,在实施治疗半年后进行生活质量调查,并将数据导入SPSS17.0进行统计分析.结果.78例青年乳腺癌患者,生活质量平均得分为(56.2±11.3)分,年龄(β=-1.982,P=0.039)、家庭月收入(β=-6.839,P=0.003)、照顾者类型(β=2.896,P=0.029)、病程(β=-3.873,P=0.022)、淋巴结转移情况(β=4.060,P=0.017)、手术方式(β=1.221,P=0.048)这6个因素对生活质量得分具有影响.结论:根据青年女性乳腺癌患者生活质量及其影响因素,须加强年轻患者的心理干预,鼓励丈夫照顾,提倡建立癌症基金和病友会,逐渐提高患者社会适应能力和生活质量.  相似文献   

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钦州市性病门诊男性就诊者艾滋病高危行为影响因素分析   总被引:1,自引:0,他引:1  
目的:探索性病门诊男性就诊者高危行为的影响因素和干预手段。方法对2010~2012年艾滋病哨点监测期内前来性病门诊就诊的1079名男性性病就诊者进行面对面无关联匿名问卷调查并采血作HIV及梅毒抗体检测。结果1079例患者中,21~40岁年龄者705例,占65.34%;在婚人员775例,占71.83%;达到艾滋病防治知识知晓水平872例,占80.82%;最近3个月与性工作者发生商业性行为者637例,占59.04%;最近3个月与临时性伴发生性行为者128例,占11.86%;HIV抗体检测阳性22例,占2.04%;梅毒抗体阳性102例,占9.45%。结论性乱、婚姻状况及艾滋病防治知识知晓水平均是艾滋病高危行为的重要影响因素,开展性病门诊就诊者艾滋病高危行为干预时,应根据干预对象的年龄、婚姻状况及艾滋病防治知识知晓水平等情况,有针对性实施干预。  相似文献   

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