社区女性阴道微生态调查研究  

Investigation on vaginal microecology of community women

作　　者：罗南玲 卢小玉 黄彩珍[1] 何丽丽[1] 张奕标 龚哓芳 LUO Nan Ling LU Xiao Yu HUANG Cai Zhen HE Li Li ZHANG Yi Biao GONG Xiao Fang(Gaoxin Community Center in Nanshan District People＇s Hospital of Shenzhen, Shenzhen 518000, China)

机构地区：[1]深圳市南山区人民医院高新社康中心,518000

出　　处：《中国妇幼卫生杂志》2017年第2期69-71,共3页Chinese Journal of Women and Children Health

基　　金：深圳市南山区科技计划项目(2015043);项目名称:社区女性阴道微生态调查研究

摘　　要：目的研究社区女性阴道微生态状况,为指导阴道感染性疾病临床保健提供科学依据。方法选取500例社区女性体检者为研究对象,采集阴道后穹窿处分泌物,应用阴道p H测定、湿片与革兰染色涂片观察评估阴道微生态状况,并采用单因素及Logistic回归多因素分析影响阴道微生态的相关因素。结果 500例社区女性居民,共检查阴道微生态失调82例,发生率为16.40%,其中外阴阴道假丝酵母菌病的发生率最高,占31.71%;其次为细菌性阴道病占23.17%;细胞溶解性阴道病与需氧菌性阴道炎相近。高龄、每周性生活次数>5次/周、经期卫生巾更换情况<2次/天、每周阴道清洗次数<2次/周及激素类药物应用是阴道微生态失调的危险因素(P<0.05)。结论阴道微生态评估有助于阴道感染性疾病的检出,且注重育龄期女性阴道微生态评估,加强女性性生活、经期等卫生知识教育,对预防阴道感染具有重要的临床意义。Objective To study the micro ecological status of female vagina in the community, and to provide scientific basis for the clinical care of vaginal diseases. Methods 500 community females who carried out physical examination were selected as the research object, and their vagina secretions in posterior fornix were collected. Vaginal micro ecological status were observed and evaluated by the determination of vaginal pH, wet and Gram stained smears, and the related factors affecting vaginal microecology were analyzed by the single factor and logistic regression. Result Among the 500 females, 16.40% （ n = 82） of them were found vaginal micro ecological imbalance, which the incidence of vulvovaginal candidiasis was the highest, accounting for 31.71% ; Followed by bacterial vaginosis accounted for 23. 17% ; It is closed the relationship between soluble vaginal disease and aerobic vaginitis. The influencing factors of vaginal microccology contained advanced age, sexual life more than 5 times one week, replacing menstrual sanitary napkins less than 2 times one day, cleaning vaginal less than 2 times one week and using hormone drugs （P 〈 0.05 ）. Conclusion The micro ecological assessment of vagina is helpful to the detection of vaginal infectious diseases, and it is important to pay attention to the ecological assessment of women＇ s vagina during the period of childbearing age, to strengthen women＇ s health education of sexual life and menstrua, it is important clinical significance in the prevention of vaginal infection.

关 键 词：阴道微生态 社区女性 阴道感染 影响因素 

分 类 号：R711.3[医药卫生—妇产科学]