急性盆腔炎症性疾病致病因素及病原微生物分析

发布时间：2018-11-05 11:45

【摘要】：目的分析急性盆腔炎症性疾病致病因素及病原微生物特点。方法选择401例急性盆腔炎症性疾病患者为观察组,使用自制调查表调查患者的病历资料,分析患者的临床特点,并选择120例健康女性为对照组,分析急性盆腔炎症性疾病的致病因素;对观察组患者进行病原微生物检查,分析急性盆腔炎症性疾病的病原微生物特点。结果与对照组比较,观察组患者性传播疾病史、流产史、经期卫生不良、无避孕措施、宫内节育器避孕比例差异有统计学意义(P0.05),避孕套或避孕药避孕比例差异无统计学意义(P0.05)。共检出不同致病微生物6种,人型支原体107例(26.68%)、阴道菌群106例(36.43%)和衣原体101例(25.19%)比例居多,其余分别为假丝酵母菌50例(12.47%),阴道毛滴虫44例(10.97%),淋病奈瑟菌37例(9.23%);各类病原微生物对不同类型抗生素的耐药性不同。结论不良性行为及下生殖器卫生是急性盆腔炎症性疾病的影响因素;病原微生物类型多且耐药性高,应合理选择药物,提高疗效。
[Abstract]:Objective to analyze the pathogenic factors and microorganism characteristics of acute pelvic inflammatory diseases. Methods 401 patients with acute pelvic inflammatory disease were selected as the observation group. The medical records of 401 patients with acute pelvic inflammatory disease were investigated by self-made questionnaire, and the clinical characteristics of the patients were analyzed. 120 healthy women were selected as the control group. To analyze the pathogenic factors of acute pelvic inflammatory diseases. The pathogenic microorganism characteristics of acute pelvic inflammatory disease were analyzed. Results compared with the control group, there were significant differences in the history of sexually transmitted diseases, the history of abortion, poor menstrual hygiene, no contraception, and the proportion of IUD contraception in the observation group (P0.05). Condom or contraceptive ratio had no significant difference (P0.05). A total of 6 different pathogenic microbes were detected, 107 cases (26.68%) of mycoplasma hominis, 106 cases (36.43%) of vaginal flora and 101 cases (25.19%) of chlamydia, the remaining 50 cases (12.47%) were Candida cerevisiae. There were 44 cases (10.97%) of trichomonas vaginalis and 37 cases (9.23%) of Neisseria gonorrhoeae. The resistance of various pathogenic microorganisms to different types of antibiotics is different. Conclusion Bad sexual behavior and lower genitalia hygiene are the influencing factors of acute pelvic inflammatory diseases.
【作者单位】：广西柳州市人民医院妇科一病区;
【分类号】：R711.33

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