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題名 | 海軍士官兵尿道炎流行病學研究及臨床觀察 |
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作者 | 黃正麟; | 書刊名 | 醫學研究 |
卷期 | 8:3 1987.11[民76.11] |
頁次 | 頁181-186 |
分類號 | 412.41 |
關鍵詞 | 士官兵; 尿道炎; 流行病; 研究; 海軍; 臨床觀察; |
語文 | 中文(Chinese) |
中文摘要 | 在已開發國家,尿道炎是最常見的性傳染病。尿道炎分為淋病尿道炎和非淋病尿道炎二種。淋病尿道炎由淋病奈氏雙球菌所引起,而非淋病尿道炎主要是由披衣菌所造成,少部份是由其他致病菌所引起,尿素黴漿菌可能會造成非淋病尿道炎,但至今尚未定論。本研究針對尿道炎二種主要致病菌:淋病奈氏雙球菌、抜衣菌及可能與尿道炎有關之另一細菌:尿素黴漿菌作一流行病學研究與臨床觀察。由民國74年12月起至民國75年4月止經隨機抽機,海軍士官兵1204人參與本計劃之研究,結果如下:淋病奈氏雙球菌陽性者共16例(其中能產生青黴素過敏者5例,合併披衣菌感染有3例),感行率為1.33%,披衣菌陽性者共27例,盛行率為2.24%;尿素黴漿菌陽性者共502例,盛行率為41.69%。臨床上,淋病奈氏球菌陽性者68.75%無症狀產生,披衣菌陽性者100%無症狀產生。本研究無法說明尿素黴漿菌可否引起尿道炎,但可確定是尿素黴漿菌出現在有性交經驗者尿道的機率比較大。 |
英文摘要 | In developed countries, urethritis is the most common sexually transmitted diseases (STDs). Urethritis is divided into gonococal urethritis caused by N. gonococcus and non-gonococcal urethritis caused mainly by Chlaydia trachomatis, rarely by other organisms and probably by Ureaplasma urealyticum. From the epidemiology and clinical point of view, the significance of N. gonococcus, Chlamydia trachomatis and Ureaplasma urealyticum to urethritis are studied. By random sampling, the findings of 1204 specimen collected from urethra from persons of navy seamen and officers between December 1985 and April 1986 were analyzed as follows: N. gonococcus, 16 cases, prevalence was 1.33%; C. trachomatis, 27 cases, prevalence was 2.24%; Ureaplasma urealyticum, 502 cases, prevalence was 41.69%. Clinically, 11 (68.75%) of 16N. gonococcus cases were asymptomatic and 27 (100%) of 27 C. trachomatis case were asymptomatic. In conclusion, we found U. urealyticum were frequently occurred in asymptomatic sexually active men. |
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