10248例白带常规结果分析  

10248 case leucorrhea routine results analysis

作　　者：倪雪梅[1] 朱疏影[1] 蔡迪[1] 易娟[1] 吴雨露[1] 

机构地区：[1]四川省妇幼保健院检验科,四川成都610036

出　　处：《医学检验与临床》2014年第6期44-46,共3页Medical Laboratory Science and Clinics

摘　　要：目的：：通过对10248例患者的白带常规与BV（细菌性阴道病）结果分析，探讨白带常规检测中年龄、清洁度、霉菌、滴虫、线索细胞、白细胞酯酶、唾液酸苷酶之间的相互关系。方法：10248例患者的白带常规采用生理盐水直接涂片，显微镜下先观察清洁度情况、有无线索细胞、滴虫，然后滴1滴10％的KOH，观察有无霉菌；再用细菌性阴道病检测试剂盒{BV（三联法）}检测过氧化氢、唾液酸苷酶、白细胞酯酶。结果：清洁度Ⅰ度的标本60例（0．6％）、Ⅱ度的标本6204例（60．5％）、Ⅲ度的标本3624例（35．4％）、Ⅳ的标本360例（3．5％）；查见霉菌1770例（17．3％）、查见滴虫260例（2．5％）、查见线索细胞1362例（13．3％）；同时查见霉菌和线索细胞292例（2．8％）、同时查见滴虫和线索细胞120例（1．2％）、同时查见滴虫和霉菌60例（0．6％）、同时查见滴虫和霉菌及线索细胞30例（0．3%）；白细胞酯酶阳性3638例（35．5%）、白细胞酯酶＋唾液酸苷酶阳性1451例（14．2%）。结论：白细胞酯酶阳性率、白细胞酯酶＋唾液酸苷酶阳性率与清洁度、霉菌、滴虫、线索细胞之间的关系有统计学意义；清洁度的好坏与霉菌、滴虫、线索细胞之间的关系有统计学意义；年龄大小与霉菌、滴虫、线索细胞的关系有统计学意义。Objective ： Through the 10,248 cases of routine vaginal BV results and analysis to explore whether the relationship among age, cleanliness, fungus, trichomonas, clue cells, leukocyte esterase, and neuraminidase. Methods ： Saline direct smear under the microscope and observe it＇ s cleanliness, the presence of clue cells, Trichomonas vaginalis, and then drop a drop of 10% KOH, to observe whether the mold; then bacterial vaginosis detection kit {BV （triple method）} to detect hydrogen peroxide, neuraminidase, leukocyte esterase.Results ： Cleanliness Ⅰ degree specimens 60 eases （0.6%）, cleanliness Ⅱ degree specimen 6204 eases （60.5%）, cleanliness m degree specimen 3624 eases （35.4%）, cleanliness Ⅳ specimens of 360 eases （3.5%）; check and find mildew 1770 cases （17.3%）, 260 eases investigated, find trichomoniasis （2.5%）, check and find elue ceils 1362 cases （13.3%）; simultaneously mold and clue eells 292 cases （2.8%）, check and find trichomoniasis and clues Cell 120 cases （1.2%）, trichomoniasis and mold 60 cases （0.6%）, trichomoniasis and mold and clue cells in 30 eases （0.3%）; leukocyte esterase positive 3638 eases （35.5%）, leukocyte esterase ＋ neuraminidase positive 1451 cases （14.2%）. Conclusions ： The relationship among the leukocyte esterase-positive rate, leukocyte esterase ＋ neuraminidase positive rate and cleanliness, mildew, trichomonas, clue cells have statistical significance; the good or bad of the cleanliness has relationship among fungus, trichomonas, clue cells is statistically significant, the relationship among age, mildew, trichomonas, clue cells relationship is statistical significance.

关 键 词：白带常规 BV 年龄 清洁度 霉菌 滴虫 线索细胞 白细胞酯酶 唾液酸苷酶 

分 类 号：R446[医药卫生—诊断学]