摘要
目的:了解沈阳地区就诊不育男性泌尿生殖道解脲支原体(UU)和人乳头瘤病毒(HPV)感染情况并分析相关影响因素。方法:随机抽取在沈阳地区20个生殖医疗机构2018年1月-2021年1月就诊的18~50岁不育男性各200例共2000例,采集调查对象泌尿生殖道分泌物标本进行UU、HPV检测,开展结构式问卷调查,分析影响不育男性泌尿生殖道UU、HPV感染的相关影响因素。结果:发放2000份调查问卷,回收1921份,回收率96.1%。1921例中检测出UU阳性531例(27.64%),HPV阳性78例(4.1%)。UU感染组初中及以下学历、无固定职业、吸烟、个人卫生差、有临时性伴侣的占比高于UU未感染组,HPV感染组初中及以下学历、个人卫生差、有临时性伴侣的占比高于HPV未感染组(均P<0.05)。UU感染组与未感染组年龄、饮酒史未见差异,HPV感染组与未感染组年龄、职业、吸烟史、饮酒史未见差异(均P>0.05)。logistic多因素回归分析显示,初中及以下学历、个人卫生差、有临时性伴侣是不育男性泌尿生殖道UU、HPV感染的独立风险因素(P<0.05)。结论:沈阳地区不育男性泌尿生殖道UU感染率较高,HPV感染率较低。学历低(初中及以下)、个人卫生差、有临时性伴侣是导致不育男性UU、HPV感染的独立危险因素,应引起足够重视。
Objective:To understand the infections of Ureaplasma Urealyticum(UU)and human papilloma virus(HPV)in the genitourinary tract of infertile men in Shengyang area,and to analyze the related factors of infection.Methods:A total of 2000 infertility males aged between 18 and 50 years old were randomly selected as respondents from 20 reproductive medical institutions(200 males in each institution)in Shengyang area between January 2018 and January 2021.The urogenital tract secretion samples of these men were collected for UU and HPV detections.A structured questionnaire survey was conducted in them to analyze the related influencing factors of urogenital tract UU and HPV infections of infertile men.Results:Among 2000 questionnaires distributed,1921 questionnaires were recovered,with the recovery rate of 96.05%.In these 1921 men,there were 531(27.64%)cases with UU positive and 78(4.1%)cases with HPV positive.The proportions of junior high school education or below,no fixed occupation,smoking,poor personal health,and temporary sex partner the men with UU infection were significant higher than those of the men without UU infection.The percentages of junior high school or below,poor personal hygiene,and temporary sex partner of the men with HPV infection were significant higher than those of the men without HPV infection(all P<0.05).There were no significant differences in age and drinking history between the men with UU infection and the men without UU infection,and here were no significant differences in age,occupation,smoking history,and drinking history between the men with HPV infection and the men without HPV infection(P>0.05).Logistic multivariate regression analysis showed that junior high school or below,poor personal hygiene,and having a temporary sex partner were the independent risk factors of UU and HPV infections in the genitourinary tract of infertile men(P<0.05).Conclusion:The infection rate of UU in genitourinary tract of infertile men in Shengyang was high,while the infection rate of HPV was low.Low educational background(junior high school or below),poor personal hygiene,and having temporary sex partners were the independent risk factors of UU and HPV infections in infertile men,which should be paid enough attention to.
作者
谢庆鹏
刘世博
胡滨
XIE Qingpeng;LIU Shibo;HU Bin(Liaoning cancer Hospital Urology surgery, Liaoning, Shenyang, 110042)
出处
《中国计划生育学杂志》
2022年第1期20-23,共4页
Chinese Journal of Family Planning
关键词
不育男性
泌尿生殖道感染
解脲支原体
人乳头瘤病毒
感染情况
影响因素
Infertile men
Genitourinary tract infection
Ureaplasma urealyticum
Human papillomavirus
Infection status
Influencing factors
作者简介
通信作者:胡滨,kiki20008@163.com。
