淋球菌感染与其他性传播性疾病感染关系的研究

目的探讨高危妇女中淋病的发生率及与生殖道其他感染的关系。方法应用T—M培养基、连接酶链反应（LCR）、TPHA、RPR、阴液革兰染色涂片等对966例高危妇女进行淋病、衣原体、梅毒、HIV、尖锐湿疣、念珠、滴虫和细菌性阴道炎检查。结果966例自愿者中检出淋病172例，发生率17．80％。合并阴道其他感染87．79％，合并衣原体感染41．27％，合并梅毒11．62％，合并尖锐湿疣7．5％，合并HIV1．74％，总合并感染率高达95．94％，仅为单一的淋病患者4．06％。结论淋病患者合并其他生殖感染及性病发生率高，特别是合并阴道感染发生率最高，因此对反复阴道感染或治疗效果欠佳的阴道炎应注意合并淋球菌感染，对发现淋病的患者应同时进行其他生殖感染及性病的检查，以免漏诊，提高诊断率。

Study the relationship of gonorrhea infection and the other sexually transmitted disease

Objective To investigate the relationship of gonorrhea infective and other genital infec- tive diseases in high risk women.Methods T-M cell culture and ligase chain reaction(LCR),TPHA, RPR,Gram's stain smear were used to detect endocervical gonorrhea,chlamydia trachomatis,syphilis, HIV,candida albica,trichomoniasis and bacterial genital diseases in 966 cases high risk women.Results Among 966 cases,172 cases were infected by gonorrhea,the infective rate is 17.8%,together with other genital diseases infected was 87.79%,combined infective with chlamydia trachomatis,syphilis,genital warts,HIV,were 41.27%,11.62%,7.5% and 1.4% respectively,the total combine infected rate was 95.94%,only gonorrhea infected was 4.06%.Conclusion There were high rate infected by gonorrhea com- bine with other sexually transmitted disease,especially combined with genital infective diseases.So to the patients who repeated infected by genital diseases and there were no good treatment effect,you may make at- tention for them if they would combine infected with gonorrhea,and to the patients wio infected gonorrhea, you may detect other sexually transmitted diseases to avoid omitting the diagnose.