摘要
目的为探讨小儿女阴感染的临床特征及防治手段。方法应用PCR-DNA对小儿女阴及尿道口分泌物进行解脲支原体(UU)、衣原体(Ct)及淋球进行检测,同时观察三种病原体感染的临床表现,找出临床特征,以利基层医疗单位诊断治疗。结果UU、Ct主要临床特征为尿道口分泌物增多,无色,外阴痒感,但无阴道炎表现。淋菌感染者分泌物黄色或脓性,有异味或臭味,小阴唇及阴道黏膜充血,临床特征与PCR-DNA检测UU、Ct及淋菌阳性符合率分别为98.18%97.83%及100%。母UU、Ct及淋菌女阴感染者,其女儿PCR-DNA检出率分别为66.67%83.33%及45.00%。AR%值分别为97.37%98.15%及74.81%。小儿有公共浴池洗浴史者,女阴分泌物UU-RCR-DNA阳性为42.86%、Ct为43.33%、淋菌为66.67%,与无公共浴池洗浴史者UU、Ct、淋菌等PCR-DNA检测阳性率间P<0.05。AR%分别为85.29%98.15%及18.70%。经阿奇毒素治疗10d阴转率,UU为72.50%、Ct为64.71%、淋菌为90.00%。6个月阴转率UU为92.50%、Ct为97.14%、淋菌为90.00%。结论UU、Ct及淋菌PCR检测阳性者与临床特征基本一致,P>0.05。在不具备先进检测设备的基层医疗单位可根据临床特征诊断、筛选、进行治疗,据AR%值推算,如除去母患女阴炎因素,UU、Ct及淋菌女婴女阴炎发病率可分别在原有病率基础上,再下降97.37%98.15%及94.
Objective To research the clinical manifestation and prevention on the infection in female infant pudenda. Method Testing urine mycoplasma(UU),chlamydia(Ct)and lymphocyte in secretion from female infant vagina and urethra with PCR-DNA. To find out the clinical manifestation of these pathogens for clinical diagnosis. Results The clinical manifestation of UU and CtSecretion from urethra increases. Secretion has no colour.Pudenda itch,not vaginitis.But lymphocyte infectionsecretion is yellow,like pus,smelly.Nympha and vagina mucous membrane congest.As compared with clinical manifestation,the positive percentage(rate)of UU,Ct and lymphocyte PCR-DNA test are 98.18%,97.83% and 100%?If the mother has UU,Ct and lymphocyte infection in pudenda,the daughter's PCR-DNA test infection percentage(rate) are 66.67%,83.33%,45% and AR% are 97.37%,98.15%,74.81%?The secretion from the female infant who go to the public bathroom was tested in PCR-DNA and positive percentage are UU 42.86%,Ct 43.33%,lymphocyte 66.67%,The secretion from the one who not go to public bath was tested,positive ratio show P<0.05. And AR% are 85.29%,98.15%,18.70%?We treated patient with Azithromycin,the test turn to negative in ten days,the percentage are UU 72.50%?Ct 64.71%?lymphocyte 90.00% and in six month the percentage are UU 92.50%,Ct 97.14%?lymphocyte 90.00%?Conclusion UU,Ct,and lymphocyte PCR-DNA test positive result fit to the clinical manifestation basically,P>0.05. If a hospital has no advanced test equipment,they can diagnose and treat according to the clinical manifestation.Calculating through AR%,mother vaginitis apart,female infant pudenda disease down to UU97.37%,Ct98.15%,lymphocyte 94.48%?Public bath apart, above disease down to UU 85.29%,Ct 98.15%,lymphocyte 84.00%?Azithromycin is effective on preventing and curing UU,Ct,lymphocyte infection.
出处
《吉林医学》
CAS
2004年第6期37-39,共3页
Jilin Medical Journal
关键词
解脲支原体
衣原体
淋菌
临床特征
小儿女阴感染防治
Urine Mycoplasma
Chlamydia Lymphocyte
Clinical manifestaton
Preventing and curing female infant pudenda infection
