妇科门诊阴道分泌物临床检查结果分析  

The analysis and research on women′s vaginal secretions in gynecology clinic

作　　者：麻全慧[1] 葛亮[1] 万贵平[2] 吴秀玲[2] 张家明[1] 

机构地区：[1]江苏省中西医结合医院 检验科,江苏南京210028 [2]江苏省中西医结合医院 妇产科,江苏南京210028

出　　处：《国际检验医学杂志》2013年第22期2976-2977,共2页International Journal of Laboratory Medicine

摘　　要：目的了解妇科门诊患者阴道炎的发病情况及其影响因素，为临床治疗和疾病预防提供帮助。方法对1788例门诊妇科阴道分泌物做清洁度、霉菌、滴虫以及细菌性阴道病（BV）、需氧菌性阴道炎（AV）的测定，并对其结果进行统计分析。结果1788倒标本中，霉菌、滴虫、AV、BV检出率分别为16．0％、1．6％、6．0％、12．7％。霉菌检出率高于滴虫（P〈0．01），BV检出率高于AV（P〈o．01）；随着清洁度的增加，滴虫、霉菌、AV、BV的检出率呈明显递增趋势。清洁度Ⅲ～Ⅳ霉菌、滴虫、AV、BV的检出率明显高于清洁度I～Ⅱ（P〈0．01）；55岁以下霉菌的检出率明显高于55岁以上患者，差异有统计学意义（P〈0．01）；45岁以下滴虫的检出率明显低于45～〈55岁患者，差异有统计学意义（P〈0．05）；45～〈55岁BV的检出率明显高于其他组，差异有统计学意义（P〈0．05）。结论霉菌、滴虫、AV、BV的检出率与清洁度、年龄密切相关，应针对不同的人群、不同的清洁度加强该项目的检杏。Objective To understand the prevalence rate and risk factors of vaginitis of gynecological outpatients. To provide as- sistance for clinical treatment and diseases prevention. Methods We compared the prevalence rate of abnormal cleanliness, colpitis mycotica, trichomonad, aerobic bacteria vaginitis（AV） and bacterial vaginal diseases （BV） of the outpatient department of 1 788 vagi- nal secretions,then analyzed them by statistics. Results Prevalence rates of colpitis mycotica, trichomonas vaginitis, AV and BV were 16.0 %, 1.6 %, 6.0 %, 12.7 %. The prevalence rate of colpitis mycotica was obviously higher than trichomonas vaginitis. There was significant difference（P〈0.01）. The prevalence rate of BV was obviously higher than AV. There was significant difference （P〈0.01）. As cleanliness increased, the prevalence rates of colpitis mycotica, trichomonas vaginitis, AV and BV could go up too. In III --IV degrees of cleanliness,the prevalence rates of colpitis mycotica, trichomonas vaginitis,AV and BV were obviously higher than in the I -- II degrees（P〈0.01）. The people who were youger then 55 the prevalence rate of colpitis mycotica were obviously higher than people who were older then 55. There was significant difference（P〈0.01）. The people who were youger then 45, the prevalence rate of trichomonas vaginitis was obviously lower than people who were 45-55 years old. There was significant differ ence（P〈0.05）. In 45-〈55 years old group, the prevalence rate of BV was obviously higher than other groups. There was signifi- cant difference（P%0.05）. Conclusion The susceptibilities on colpitis mycotica, trichomonas vaginitis, AV and BV are closely asso- ciated with age and cleanliness. We should strengthen the examination for different groups and different cleanlinesses.

关 键 词：阴道分泌物 年龄 清洁度 

分 类 号：R711.3[医药卫生—妇产科学]