泸州地区细菌性阴道病的调查研究  

The study on the bacterial vaginosis in Luzhou area

作　　者：李林[1] 王定玉[2] 贾娟[3] 

机构地区：[1]泸州医学院附属医院检验科,四川泸洲646000 [2]泸州医学院附属医院妇产科 [3]泸州医学院附属医院口腔科

出　　处：《中国妇幼保健》2011年第32期5045-5047,共3页Maternal and Child Health Care of China

摘　　要：目的:了解阴道炎患者细菌性阴道病(Bacterial vaginosis,BV)的发生率和发病的原因。方法:采用快速检测法对3 443例阴道炎患者进行BV的检测,同时采用生理盐水直接涂片法进行阴道清洁度、霉菌及阴道滴虫感染的观察。检查结果采用χ2检验进行不同年龄组间BV发生率的差异分析。结果:阴道炎患者BV的发生率38.11%(1 312/3 443),明显高于霉菌20.88%(719/3 443)、阴道滴虫3.60%(124/3 443)的感染率(P<0.05)。≤20岁、21～30岁、31～40岁、41～50岁和>50岁年龄组BV的发生率分别为39.69%、41.02%、40.10%、34.84%和20.25%,组间比较41岁以上组BV的发生率低于40岁以上组,以>50岁年龄组BV的发生率最低(P<0.05),其他年龄组间比较差异无统计学意义(P>0.05)。阴道清洁度Ⅰ～Ⅱ和Ⅲ～ⅣBV的发生率分别为44.09%和30.98%。BV患者中,同时伴有霉菌感染者占22.56%(296/1 312),阴道滴虫感染患者占5.49%(72/1 312)。结论:泸州地区阴道炎患者以BV为主,亦有合并霉菌和阴道滴虫感染的病例,BV的发生有年龄差异,与阴道清洁度有一定的关系。Objective：To understand the incidence and causes of bacterial vaginosis（BV）.Methods：BV of 3 443 patients with vaginitis fungal was detected by fast detection ways,while the vaginal cleanliness,the infection of mold and trichomonas vaginalis were observated by the direct smear method using saline.The incidences of BV in difference groups were analyzed.Results：The incidence of BV in patients with vaginitis fungal（38.11%,1 312 / 3 443） was significantly higher than that in patients with mold（20.88%,719/3 443）.and with trichomonas vaginalis（3.60%,124/3 443）（P0.005）.The incidence of BV in ≤20 years old,21~30 years old,31~40 years old,41~50 years old and 50 years old age was respectively 39.69%,41.02%,40.10%,34.84% and 20.25%,the incidence of BV in 50 years old group was lowest（P0.05）,there were no significant difference amoung other age groups（P0.05）.The incidence of BV in vaginal cleanliness Ⅰ ~ Ⅱ and Ⅲ ~ Ⅳ were 44.09% and 30.98%.In BV patients,the incidence of mold infection was 22.56%（296 / 1 312）,and trichomonas vaginalis infection was 5.49%（72 / 1 312）.Conclusion：BV is main in vaginitis in Luzhou area,there are some cases with mold and trichomonas vaginalis infections.The incidence of BV relates with ages and vaginal cleanliness.

关 键 词：细菌性阴道病 阴道炎 霉菌 阴道滴虫 

分 类 号：R711.73[医药卫生—妇产科学]