中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2015年
8期
56-58
,共3页
解脲脲原体%人型支原体%药敏试验
解脲脲原體%人型支原體%藥敏試驗
해뇨뇨원체%인형지원체%약민시험
ureaplasma urealyticum%mycoplasma hominis%susceptibility test
目的：了解支原体在女性生殖道感染中的状况及其对临床常用的治疗支原体的12种抗生素敏感度。方法回顾性分析2011年3月至2013年10月河南省省直第一医院妇科门诊泌尿生殖道感染的923例患者的临床资料，根据药敏试验进行治疗，随访其治疗效果。结果支原体感染359例，总阳性率为38.9％，其中解脲脲原体（ ureaplasma urealyticum， UU ）感染278例，阳性率为30.1％，人型支原体（ mycoplasmahominis， MH）感染12例，阳性率为1.3％，两者混合感染69例，感染率为7.5％。药敏结果显示：对UU单独感染有较高敏感度的药物包括美满霉素、多西环素、交沙霉素和克拉霉素；对MH单独感染有较高敏感度的药物包括美满霉素和多西环素；而对UU和MH混合感染有较高敏感度的药物包括美满霉素和多西环素。结论多西环素、美满霉素等可作为生殖道支原体感染的首选药物，在检测支原体的同时做药敏试验对临床合理用药具有指导意义。
目的：瞭解支原體在女性生殖道感染中的狀況及其對臨床常用的治療支原體的12種抗生素敏感度。方法迴顧性分析2011年3月至2013年10月河南省省直第一醫院婦科門診泌尿生殖道感染的923例患者的臨床資料，根據藥敏試驗進行治療，隨訪其治療效果。結果支原體感染359例，總暘性率為38.9％，其中解脲脲原體（ ureaplasma urealyticum， UU ）感染278例，暘性率為30.1％，人型支原體（ mycoplasmahominis， MH）感染12例，暘性率為1.3％，兩者混閤感染69例，感染率為7.5％。藥敏結果顯示：對UU單獨感染有較高敏感度的藥物包括美滿黴素、多西環素、交沙黴素和剋拉黴素；對MH單獨感染有較高敏感度的藥物包括美滿黴素和多西環素；而對UU和MH混閤感染有較高敏感度的藥物包括美滿黴素和多西環素。結論多西環素、美滿黴素等可作為生殖道支原體感染的首選藥物，在檢測支原體的同時做藥敏試驗對臨床閤理用藥具有指導意義。
목적：료해지원체재녀성생식도감염중적상황급기대림상상용적치료지원체적12충항생소민감도。방법회고성분석2011년3월지2013년10월하남성성직제일의원부과문진비뇨생식도감염적923례환자적림상자료，근거약민시험진행치료，수방기치료효과。결과지원체감염359례，총양성솔위38.9％，기중해뇨뇨원체（ ureaplasma urealyticum， UU ）감염278례，양성솔위30.1％，인형지원체（ mycoplasmahominis， MH）감염12례，양성솔위1.3％，량자혼합감염69례，감염솔위7.5％。약민결과현시：대UU단독감염유교고민감도적약물포괄미만매소、다서배소、교사매소화극랍매소；대MH단독감염유교고민감도적약물포괄미만매소화다서배소；이대UU화MH혼합감염유교고민감도적약물포괄미만매소화다서배소。결론다서배소、미만매소등가작위생식도지원체감염적수선약물，재검측지원체적동시주약민시험대림상합리용약구유지도의의。
Objective To investigate the infection status of Mycoplasma in female genital tract and the sensitivity of Mycoplasma to 12 kinds of antibiotic.Methods Clinical data of 923 cases with urogenital tract infection in The First Provincial Hospital of Henan Province from March 2011 to October 2013 were retrospectively analyzed, therapeutic regimen were made according to the drug sensitive test, the treatment effects were follow-uped.Results With 359 cases were infected by mycoplasma with positive rate of 38.9 %, including 278 cases were infected by ureaplasma urealyticum ( UU ) with positive rate of 30.1 %, 12 cases were infected mycoplasmahominis ( MH) with positive rate of 1.3%, 69 cases were mixed infection with positive rate of 7.5%.The drug sensitivity test showed that the UU infection alone had higher sensitivity to minocycline, doxycycline, josamycin, clarithromycin, MH infection alone had higher sensitivity to minocycline and doxycycline, mixed infection had higher sensitivity to minocycline and doxycycline. Conclusion Doxycycline and minocycline could be first choice drug of genital tract mycoplasma infection, the detection of Mycoplasma and drug sensitive test has guiding significance for clinical drug use.
