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目的研究宫颈炎患者支原体感染及对常用抗生素的敏感情况,为指导临床用药、提高治疗效果提供依据。方法选取2010年3月-2011年3月来广东省军区门诊部妇科门诊就诊的宫颈炎患者276例,取宫颈炎患者的宫颈分泌物进行衣原体培养和药敏试验。结果支原体培养结果:276例宫颈炎患者标本中,支原体阳性者135例,阳性率为48.91%,包括解脲支原体(UU)感染者118例,人型支原体(MH)感染者5例,UU+MH混合感染者12例;药敏试验结果:强力霉素对支原体最敏感,其耐药率仅为4.45%;其次为克拉霉素,其耐药率为11.85%。结论宫颈炎患者支原体感染率较高,以解脲支原体感染率最高,强力霉素和克拉霉素可作为治疗宫颈炎的首选药物。
Objective To study mycoplasma infection in patients with cervicitis and susceptibility to commonly used antibiotics to provide guidance for clinical use and improve the therapeutic effect. Methods 276 cases of cervicitis from March 2010 to March 2011 in gynecology outpatient department of Guangdong Provincial Military Outpatient Department were selected. Cervical secretions from patients with cervicitis were tested for chlamydia culture and drug sensitivity test. Results Mycoplasma culture results: Among the 276 specimens of cervicitis, 135 were positive for Mycoplasma, the positive rate was 48.91%. Among them, 118 were infected with UU, 5 were infected with Mycoplasma hominis, 5 were UU + MH mixed infection in 12 cases; drug sensitivity test results: doxycycline most sensitive to mycoplasma, the resistance rate was only 4.45%; followed by clarithromycin, the drug resistance rate was 11.85%. Conclusion Mycoplasma infection in patients with cervicitis is high, the highest infection rate of ureaplasma urealyticum, doxycycline and clarithromycin can be used as the treatment of cervicitis drug of choice.