产前检查妇女细菌性阴道病的筛检和相关危险因素的研究  

STUDY ON SCREENING AND RISK FACTORS OF BACTERIAL VAGINOSIS AMONG PREGNANT WOMEN

作　　者：毛淑芳[1] 金凤表[2] 刘岩[2] 张玉娟[2] 刘静[2] 翟泽芹 

机构地区：[1]承德医学院预防医学教研室,承德067000 [2]承德医学院附属医院 [3]承德市第一中心医院

出　　处：《现代预防医学》2006年第10期1769-1771,共3页Modern Preventive Medicine

基　　金：河北省科学技术研究与发展计划项目(012761130D)

摘　　要：目的：了解孕妇细菌性阴道病（BV）的患病率及其相关危险因素，为制定预防孕妇BV的措施提供科学依据。方法：采用现况调查的方法，对504例在医院妇产科门诊接受产前检查的孕妇进行BV筛检，非条件logistic回归分析探讨BV的有关危险因素。结果：孕妇的BV患病率为18．1％，以非市区居住、无业者和农民中较高。单因素分析显示：家庭居住地、职业、内裤材料、外阴清洗间隔、洗浴地点、即往分娩史、宫颈糜烂、心理压力、配偶受教育程度及配偶职业与孕妇BV关联有统计学意义；多因素分析表明：在公共浴池洗浴（OR=2．778，95％CI：1．421～5．428）、宫颈糜烂（OR=1．996，95％CI：1．203～3．312）与BV有正的关联。结论：孕妇有较高的BV患病率，为减少BV引起的不良妊娠结局．应针对相关的危除因素，加强育龄妇女有关BV防治的健康教育。Objective： To know the prevalence of bacterial vaginosis （BV） among pregnant women and to determine the risk factors related to BV. Methods： A cross - sectional study was conducted in a sample of 504 pregnant women in obstetric - genecology clinics to screen for BV. Non-conditional logistic regressions were used to identify the risk factors of BV. Results： The prevalence of BV among pregnant women was 18.1%. Univariate logistic regression showed that dwelling place, occupation, material of underwear, interval of pudendum cleanout, bathing site, history of delivery, cervical erosion and psychological stress, spouse＇ s education and occupation were associated with BV. Multivariate non - conditional logistic regression showed that bathing in the hathhouse （OR=2.778, 95%CI： 1.421-5.428） and cervical erosion （OR=1.996, 95%CI： 1.203-3.312） were related to BV positively. Conclusion： Pregnant women＇ s BV rate was high. In order to decrease the adverse pregnancy outcomes, it is necessary to strengthen reproductive health education among child - bearing age women.

关 键 词：细菌性阴道病 筛检 危险因素 妊娠 

分 类 号：R711.31[医药卫生—妇产科学]