围绝经期女性生殖道感染及其影响因素分析  

Analysis of female reproductive tract infections in perimenopausal period and its influencing factors

作　　者：顾明芳 俞延波 夏佳娜 凌芝 喻芳 

机构地区：[1]宁波市镇海区妇幼保健计划生育服务中心妇保科,浙江宁波315200 [2]宁波市镇海区卫生和计划生育局,浙江宁波315200

出　　处：《中华医院感染学杂志》2017年第14期3296-3298,3306,共4页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生基金资助项目(2014KYB241)

摘　　要：目的探讨围绝经期女性生殖道感染情况及其影响因素,为临床治疗提供参考依据。方法选择2012年-2015年医院体检的500例围绝经期女性患者为围绝经期组和500例生育年龄女性患者作为对照组,收集两组患者临床资料,检测外阴、阴道、宫颈、盆腔的感染情况。结果围绝经期组患者阴道炎发生率为20.4%,宫颈炎的发生率为32.4%,高于对照组患者的9.6%、15.2%(P<0.05);多因素logistic回归分析,结果显示:年龄、文化程度、正规治疗和卫生习惯是围绝经期女性生殖道感染的独立影响因素(P<0.05)。结论围绝经期女性阴道炎和宫颈炎的发生率高于生育年龄女性,年龄是围绝经期女性生殖道感染的独立危险因素,文化程度、正规治疗和卫生习惯是围绝经期女性生殖道感染的独立保护因素。OBJECTIVE To explore the perimenopausal women＇s reproductive tract infections and its influencing factors,so as to provide references for clinical treatment.METHODS Selected total of 500 perimenopausal women were selected as perimenopausal group and 500 fertile age women were selected as control group from Jan.2012 to Dec.2015.General information on of the two groups of patients was collected.The genital,vaginal,cervical,and pelvic infections were detected.RESULTS The incidence of vaginitis and cervicitis in perimenopausal group were20.4% and 32.4%,which were higher than 9.6% and 15.2%in control group（P〈0.05）.Multivariate logistic regression analysis showed that age,educational levels,regular treatment and hygiene habits were the independent influencing factors of reproductive tract infection in perimenopausal women（P〈0.05）.CONCLUSION The incidence of vaginitis and cervicitis of perimenopausal women are higher than those of the women of childbearing age.Age is an independent risk factor for perimenopausal female reproductive tract infections.The educational levels,regular treatment and hygiene habits are the independent protective factors of perimenopausal female reproductive tract infections.

关 键 词：阴道炎 宫颈炎 盆腔炎 围绝经期 生殖道感染 

分 类 号：R691.3[医药卫生—泌尿科学]