中国实用妇科与产科杂志2025，Vol.41Issue(8)：842-846,5.DOI:10.19538/j.fk2025080115
妇科门诊育龄期女性下生殖道感染状况分析
Analysis of the status of lower genital tract infection in women of reproductive age in gynecology outpatient department
摘要
Abstract
Objective To investigate the distribution and risk factors of reproductive tract infection(RTI)in women of childbearing age visiting medical institutions.Methods A total of 3,159 women aged 18-49 years visting the gynecology outpatient department of six medical institutions from January 2021 to December 2022 were included in our study.Cervical exfoliated cells were collected for the detection of ten common RTI pathogens,and relevant demographic characteristics were also collected.The distribution of RTI infections was analyzed,and logistic regression was used to analyze the association of RTI with demographic characteristics and smoking status.Results The mean age of the study subjects was 34.6±6.7 years.The positive detection rate of any RTI pathogen was 45.7％,and the detection rate of any Ureaplasma species was 41.8％.The pathogens with the top three positive detection rates were Ureaplasma parvum3(Up3)(17.6％),Up6(13.4％)and Ureaplasma urealyticum(Uu)(10.2％).Among those with RTI,78.0％were single infection and 22.0％were multiple infection.The rates of RTI were significantly higher in women with junior high school education or below,with average monthly family income more than 20 000 CNY,being unmarried,and with smoking habit(P＜0.05).Conclusions The infection rates of RTI-related pathogens in women in gynecology outpatient department are relatively high.The most common RTI pathogens is Ureaplasma species,especially Up3,Up6 and Uu,and single infection is prevalent.At the same time,it is necessary to further strengthen health education for high-risk groups of RTI,such as those with lower education level,lower monthly family income,and smokers,to promote the reproductive health-related knowledge in them.Maintaining the balance of the vaginal microecology and actively treating lower reproductive tract infections in a standardized routine might play a crucial role in enhancing women's reproductive health.关键词
生殖道感染/育龄期女性/流行病学/影响因素Key words
sexual tract infection/women of childbearing age/epidemiology/risk factors分类
医药卫生引用本文复制引用
高迪,王旭,王雪茵,隽娟,赵更力,张小松..妇科门诊育龄期女性下生殖道感染状况分析[J].中国实用妇科与产科杂志,2025,41(8):842-846,5.基金项目
Scientific Research Seed Fund of Peking University First Hospital(2024SF47) 北京大学第一医院科研种子基金(2024SF47) （2024SF47）
