摘要
目的研究慢性盆腔炎不同中医证型患者的宫颈分泌物中解脲支原体、沙眼衣原体及需氧菌的分布情况。方法依据慢性盆腔炎西医诊断标准,按中医辨证分型,将210例慢性盆腔炎病历分为湿热瘀结证组98例、气滞血瘀证组66例和气虚血瘀证组46例,均取患者宫颈分泌物进行解脲支原体、沙眼衣原体的检测及需氧菌的检测和培养。采用R×C表的卡方检验,以P<0.05判定为是否有统计学差异。结果解脲支原体、需氧菌及二者混合感染阳性率在湿热瘀结证组、气滞(肝郁)血瘀证组、气虚血瘀证组中有统计学意义(P<0.05)。从细菌培养种类来看,210例慢性盆腔炎患者中,以革兰氏阳性球菌为主,占76.55%,其中表皮葡萄球菌最多,占33.79%,其次为粪肠球菌,占28.97%;革兰氏阴性杆菌以大肠埃希菌为主,占17.24%。结论慢性盆腔炎解脲支原体、需氧菌感染及两者混合感染在湿热证多见;盆腔炎的需氧菌病原体以葡萄球菌和大肠埃希氏杆菌为主,提示慢性盆腔炎患者的需氧优势菌发生了改变。
Objective To explore whether differences of distribution of cervix of secretion of Ureaplasma urealyticum（ UU）, Chlamydia trachomatis （CT） and aerobic bacterial community exist in the patients with damp - heat syndrome （ DHS ）, Qi stagnation and blood stasis syndrome （ QSBSS ） and Qi asthenia and blood stasis syndrome （ QABSS ） of chronic pelvic inflammatory disease （ CPID ）. Methods In terms of diagnostic standard by western medicine and dialectical idea and typing by traditional Chinese medicine （TCM ） of CPID, we surveyed 210 cases with CPID, including 98 DHS cases, 66 QSBSS cases and 46 QABSS cases. Their specimens of secretion of cervix were taken and carried out UU, CT examination and aerobic bacterium＇ s examination. Results There were significant differences between UU infection and aerobic bacterium distribution among the groups of DHS, QSBSS and QABSS in CPID. The predominating population in the CPID with DHS,CPID with QSBSS CPID and CPID with QSBSS were mainly G^＋ germs, up to 76.55% of total germ population. The ratio of different germs in these G ^＋ germs was as follows： Staphylococcus epidermidis of 33.79% ,E.faecal of 28.97%. The G^- germs in predominating population included E. coli, up to 17.24%. Conclusions The predominating population in the CPID with DHS, CPID with QSBSS CPID and CPID with QSBSS are Staphylococcus and E. coli, suggesting that the predominating population of patients with CPID has changed.
出处
《地方病通报》
2008年第3期41-43,45,共4页
Endemic Diseases Bulletin
关键词
慢性盆腔炎
解脲支原体
湿热瘀结证
Chronic pelvic inflammatory disease
Ureaplasma urealyticum（ UU）
Damp - heat syndrome
