摘要
目的收集分析深圳市淋病病例的社会人口学及性行为学特征、临床表现、诊断依据和治疗方法,为分析疫情和制定相应防治措施提供基础数据。方法对深圳市大型医疗机构门诊诊断为淋病的患者进行一对一问卷调查,对患者一般情况、行为学特征、临床表现、实验室检查、治疗情况进行评估。结果共调查180例淋病患者,近6个月有异性性接触史的占93.33%（168例）。性交从不或者偶尔使用安全套的配偶或者固定性伴占83.33%（100/120）;商业性伴占64.00%（48/75）;非固定非商业伴侣占80.00%（40/50）。有同性性接触史的占总数的8.33%（15/180）。肛交从不或者偶尔使用安全套的配偶或者固定性伴为1/1;商业性伴为2/2;非固定非商业伴侣为9/13。异性恋安全套使用情况的Logistic回归分析显示,男性的安全套使用情况比女性差[P=0.06,比值比（OR）=0.24]。患者中有症状的占98.33%;无症状的占1.67%。实验室检测中涂片占43.02%,淋球菌培养占11.17%,核酸检测占45.81%。规范化治疗率80.56%。结论同性或者异性恋中,无保护性行为仍然是感染淋病的主要原因。今后仍然需要扩大宣传保护性性行为,尤其针对男性人群;仍需加强培训,提高淋病的治疗率和治愈率。
Objective To analyze the gonorrhea cases in Shenzhen,including social demographic and sexual behavior characteristics,clinical manifestations,diagnosis and treatment,so as to provide basic data to formulate corresponding prevention measures.Methods A questionnaire survey was conducted among the outpatients diagnosed as gonorrhea in a large medical institution in Shenzhen.The general situation,behavioral characteristics,clinical manifestations,laboratory examination and treatment of the patients were evaluated.Results Among the 180 cases surveyed,93.33% had the history of heterosexual contact in the last six months.83.33% never or occasionally used condoms in the intercourse with their spouses or fixed sexual partners.64.00% had commercial sexual partners and80.00% had non-fixed and non-commercial sexual partners.8.33% had homosexual contact;100% never or occasionally used condoms during anal sex with their spouses and fixed sexual partners in the last six months;100% had the commercial partners,and 69.23% had non-fixed and non-commercial partners.Logistic regression analysis showed that males used condom worse than females（P=0.06,OR=0.24）.98.33% of the patients had symptoms.Laboratory test smears accounted for 43.02%,gonococci culture for 11.17%,and nucleic acid detection for45.81%.The standardized treatment rate was 80.56%.Conclusion Heterosexual transmission is the main way of gonorrhea spreading.Unprotected sex is still the main cause of gonorrhea infection no matter whether the behavior is homosexual or heterosexual.There is a need to expand the protection of sexual behavior,especially among the male population,and training is needed to improve gonorrhea treatment.
作者
刘芳
郑铁洪
张建霞
成凌
赵敏
朱显文
LIU Fang;ZHENG Tie-hong;ZHANG Jianxia;CHENG Ling;ZHAO Min;ZHU Xianwen(Luohu District Chronic Diseases Prevention and Treatment Hospital,Shenzhen 518000,China;Futian District Chronic Diseases Prevention and Treatment Hospital,Shenzhen 518001)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2018年第7期724-726,741,共4页
Chinese Journal of Aids & STD
基金
2017年深圳市罗湖区科创委课题(No.12)
关键词
淋病
安全套
荧光定量聚合酶链反应检测
规范化治疗
Gonorrhea
Condom
Fluorescence quantitative polymerase chain reaction detection
Standardized treatment
