阴道感染性疾病的检查方法评价及检测结果分析  

Vagina infectious disease's inspection method appraisal and test result analysis

作　　者：邵俊峰 

机构地区：[1]山东省淄博市博山区计划生育服务中心区妇幼保健院,山东淄博255200

出　　处：《中国医药导报》2011年第10期89-90,共2页China Medical Herald

摘　　要：目的:探讨妇女阴道感染性疾病的发生情况,选择快速而准确的方法进行检查,以明确病因,为治疗用药提供依据。方法:对1 332例门诊患者进行白带湿片、唾液酸酶和革兰染色联合检查。结果:①滴虫、霉菌、细菌性阴道病(简称BV)总感染人数占8.1%。②唾液酸酶法与革兰染色检测BV,阳性率分别为32.6%和31.5%;白带湿片与革兰染色查滴虫,阳性率分别为5.4%和6.8%;以上两两比较,二者间阳性率差异无统计学意义(P>0.05)。革兰染色查霉菌比白带湿片阳性率高,分别为31.1%和27.0%(P<0.05)。革兰染色查线索细胞比白带湿片阳性率高,分别为31.5%和19.5%(P<0.001)。滴虫和霉菌、滴虫和BV、霉菌和BV交叉感染率分别为0.9%、4.1%和6.3%。结论:霉菌、滴虫、BV是妇女常见的阴道感染性疾病,并且存在交叉感染的情况。白带湿片、革兰染色与BV联合检测对临床诊断和治疗意义重大。Objective：To explore women’s vaginal infectious diseases,to choose quick and accurate methods for examination,in this passage I provide some basic ways and mathods to treat these diseases.Methods：1 332 cases were detected by combined detection of leucorrhea wet slices,saliva acid enzymatic and Gram’s staining.Results：①Trichomonad,mould,bacterial vaginal disease（hereinafter referred to as BV） total infection total number was 58.1%.②Sialic acid enzymatic and Gram staining detect BV,positive rates were 32.6% and 31.5%;leucorrhea wet slices and Gram’s staining detect trichomonad,the positive rates were 5.4% and 6.8%;the positive rate between the two was no significant difference（P〉0.05）.Gram’s staining detection and mold inspection positive rate was higher than leucorrhea wet slices,were 31.1% and 27.0%（P〈0.05）.Gram’s staining detect Clues cells inspection positive rate was higher than leucorrhea wet slices,were 31.5% and 19.5%（P〈0.001）.Trichomonad and mould,trichomonad and BV,mould and BV cross infection rates for 0.9%,4.1% and 6.3%.Conclusion：Mould,trichomonad,BV are women’s common vaginal infections diseases,and will cause the presence of cross infections.Leucorrhea wet slices,Gram’s staining and BV combined detection play an important role in clinical diagnosis and treatment.

关 键 词：白带湿片 唾液酸酶 革兰染色 霉菌 滴虫 线索细胞 细菌性阴道病 

分 类 号：R446.5[医药卫生—诊断学]