中国西部农村妇女阴道炎的调查及危险因素  

An investigation of prevalence and risk factors of vaginitis among rural women in western China

作　　者：于学文[1] 张欣文[1] 任永惠[1] 许静[1] 王懿[1] 宋辉[1] 李芬[1] 

机构地区：[1]西安交通大学医学院第一附属医院妇幼保健中心,陕西西安710061

出　　处：《中国妇幼健康研究》2010年第2期146-148,共3页Chinese Journal of Woman and Child Health Research

基　　金：美国中华医学基金会资助项目《 （prevention of Reproduction Track Infections） 》（06-841）

摘　　要：目的确定中国西部农村妇女细菌性阴道病、念珠菌性阴道炎和滴虫性阴道炎的患病率和危险因素。方法采用横断面调查方法，调查陕西省石泉县和青海省互助县839名20~65岁妇女生活习惯以及生育史等，并进行妇科检查，收集阴道分泌物进行滴虫、念珠菌、细菌实验室诊断。结果细菌性阴道病、念珠菌性阴道炎和滴虫性阴道炎的患病率分别为20.14%、3.22%、8.22%，30~39岁妇女易于患阴道炎，有妊娠史的妇女阴道炎的患病率（32.19%）明显高于无妊娠史的妇女（9.09%）（χ2=13.68，P〈0.01）。无人工流产史的妇女念珠菌性阴道炎的患病率（3.40%）明显低于有1次和2次人工流产史的妇女（8.70%、8.00%）（χ2=6.30，P〈0.05）。患细菌性阴道病和滴虫性阴道炎的妇女人均住房少于正常妇女（t分别为2.61、2.55，均P〈0.05）。结论农村妇女阴道炎的患病率较高，多次妊娠是阴道炎的危险因素，家庭经济条件差的农村妇女易于患细菌性阴道病和滴虫性阴道炎。Objective To investigate prevalences and risk factors of bacterial vaginosis （BV）, vulvovaginal candididiasis （VVC） and trichomonas vaginitis （TV） among rural women in western China. Methods In crosssectional study method, 839 rural women aged 20~65 years in Shiquan county of Shaanxi province and Huzhu county of Gansu province were investigated for living habits and childbearing history. Also, the women received gynecological examination and their vaginal secretions were collected for laboratory diagnoses of BV, VVC, and TV. Results The prevalences of BV, VVC, and TV were 20.14%, 3.22% and 8.22% respectively. The higher prevalence of vaginitis was seen among the women aged 30~39 years. The prevalence of vaginitis among women who had history of pregnancy was higher than that among those women who hadn’t history of pregnancy （32.19% vs 9.09%, χ2=13.68, P〈0.01）. The prevalence of VVC among women who hadn＇t history of induced abortion was lower than that among those women who had history of one or two times of induced abortion （3.40%,8.70% and 8.00% respectively,χ2=6.30,P〈0.05）. The women suffering from BV or TV had less per capita living areas than the normal women （5.05±2.84 rooms, 4.78±2.2 rooms and 5.65±2.71 rooms respectively,t=2.61, 2.55 respectively, both P〈0.05）. Conclusion The prevalence of vaginitis,especially BV,among rural women is higher. Having history of frequent pregnancy is a risk factor of vaginitis. Those women with poor family economic condition are prone to suffer from BV and TV.

关 键 词：农村妇女 细菌性阴道病 念珠菌性阴道炎 滴虫性阴道炎 

分 类 号：R711.31[医药卫生—妇产科学] R173[医药卫生—临床医学]