男性打工人群常见性传播疾病与金黄色葡萄球菌混合感染状况的研究

摘要

目的 通过分析工厂男性人群常见性传播疾病与金黄色葡萄球菌混合感染的各种相关危险因素,为某市男性打工者制定有效的防治措施提供依据.方法 所有病例选自2011年1~12月本院泌尿科和皮肤科,年龄18~45岁男性,对其性行为采取问卷调查,根据其性行为问卷调查结果分为正常性行为组(Nsex)、非正常性行为组(Isex)、不洁性行为组(Usex).每例患者取3支拭子,分别进行细菌和支原体培养、沙眼衣原体检查.结果 Nsex与Isex比较:AUR单独感染和AUR+Uu+CT混合感染差异无统计学意义(P>0.05),AUR+Uu、AUR+Mh、AUR+CT混合感染两组差异有统计学意义(P＜0.05),Isex组前列腺炎发病率显著高于正常性行为组(P＜0.01);Nsex与Usex比较:AUR单独感染、AUR+Uu、AUR+Mh、AUR+CT、AUR+Uu+CT混合感染差异有统计学意义(P＜0.01),Usex组前列腺炎发病率显著高于正常性行为组(P＜0.01);Isex与Usex比较:AUR+Uu+CT混合感染差异无统计学意义(P>0.05),AUR+Mh、AUR+CT混合感染差异有统计学意义(P＜0.05),AUR单独感染和AUR+Uu混合感染差异有统计学意义(P＜0.01),Usex组前列腺炎发病率显著高于Isex组(P＜0.01).结论 不洁性行为和非正常性行为发生金黄色葡萄球菌与支原体或衣原体混合感染,并引起前列腺炎性反应显著高于正常性行为.%Objective To explore the related risk factors of mixed infection of common sexually transmitted diseases(STD) and Staphylococcus aureus(AUR) in male workers in certain area to offer a gist to make effective measures for prevention and therapy of diseases. Methods All cases,aged from 18 to 45 ,were selected from male patients of Department of Urology and Department of Dermatology in this hospital from Janualy to December 2011. Questionnaire survey of sexual behavior were performed. According to the results of questionnaire survey, all cases were divided into normal sexual behavior group (Nsex) , abnormal sexual behaviour group (Isex) and feculent sexual behaviour group(Usex). Three swab samples were prepared for every single case and detected for germicultrue,mycoplasma culture and Chlamydia trachomatis(CT). Results Between Nsex group and Isex group,there was no sig nificant difference of AUR single infection and AUR+Ureaplasma urealyticum(Uu)+CT mixed infection(P>0. 05) ,but of AUR + Uu,AUR+Mycoplasma hominis(Mh) and AUR + CT mixed infection,the difference were significant(P<0. 05). Incidence rate of prostatitis in Isex group was obviously higher than Nsex group(P<0. 01). Between Nsex group and Usex group,the difference of AUR single infection,AUR + Uu,AUR + Mh,AUR + CT and AUR+Uu+CT mixed infection was significant(P<0. 01) ,and incidence rate of prostatitis in Usex group was obviously higher than Nsex group(P<0. 01). Between Isex group and Usex group, AUR + Uu+CT mixed infection was without significant difference(P>0. 05) ,but AUR+Mh and AUR+CT mixed infection were with statistical difference(P<0. 05) ,especially of AUR single infection and AUR+Uu mixed infection (P<0. 01) ,and incidence rate of prostatitis in Usex group was obviously higher than Isex group(P<0. 01). Conclusion Feculent sexual behavior and abnor mal sexual behavior might easily lead to AUR and mycoplasma or chlamydia mixed infection, causing high incidence rate of prostatitis.