1070例老年性阴道炎患者阴道分泌物的酶学及过化氢浓度分析  

Vaginal secretions hydrogen peroxide concentration and enzyme analysis of 1070 cases of senile vaginitis

作　　者：高红[1] 王鑫 刘文渊[1] 

机构地区：[1]浙江省宁波市妇女儿童医院检验科,浙江宁波315012 [2]宁波大榭开发区医院妇产科,浙江宁波315000

出　　处：《中国卫生检验杂志》2010年第5期1112-1113,共2页Chinese Journal of Health Laboratory Technology

摘　　要：目的:探讨老年性阴道炎患者的阴道分泌物中酶学及过氧化氢(H2O2)浓度变化的临床意义。方法:对1070例老年性阴道炎患者和263例无阴道炎的老年人进行阴道分泌物H2O2浓度、唾液酸酶(NAase)、白细胞酯酶(LE)检测及阴道分泌物常规镜检。结果:老年性阴道炎患者阴道分泌物中H2O2浓度阳性率为77.9%、NAase阳性率为20.5%、LE阳性率为77.6%。老年性阴道炎患者阴道分泌物的常规镜检结果显示有21.1%的老年性阴道炎患者为线索细胞阳性。LE阳性结果和阴道分泌物镜检结果(白细胞为+以上)呈正相关(r=0.79,P<0.01)。结论:老年性阴道炎患者存在阴道分泌物的酶学及H2O2浓度改变;老年性阴道炎患者进行阴道分泌物常规镜检的同时,应该结合阴道分泌物中酶学及H2O2浓度的检测进行综合分析。Objective：To research the clinical significance of enzyme and hydrogen peroxide（H2O2） concentration changes in vaginal secretions of senile vaginitis.Methods：Detect the H2O2 concentration,neuraminidase（NAase）,leukocyte esterase（LE） in the vaginal secretions of 1070 cases of senile vaginitis patients and 263 normal olders,and conventional microscopic examine vaginal secretions at the same time.Results：In senile vaginitis patients,the positive rate of the H2O2 concentration and NAase and LE are 77.9% and 20.5% and 77.6%.There are 21.1% senile vaginitis patients found clue cell positive in microscopic examination.We found the positive results of LE and vaginal discharge microscopic examination（white blood cells result is ＂＋＂ or more） are very correlatd（r=0.79,P〈0.01）.Conclusion：Enzyme and H2O2 concentration changes in vaginal secretions of senile vaginitis patients.It is sensible to detect the H2O2 concentration and NAase and LE when we do vaginal discharge microscopic examination.

关 键 词：老年性阴道炎 过氧化氢 唾液酸酶 白细胞酯酶 

分 类 号：R711[医药卫生—妇产科学]