428例育龄期妇女阴道感染情况调查  

Investigation on vaginal infection in 428 women of childbearing age

作　　者：庞卓超[1] 叶翠芬[1] 聂润球[1] 吴丹[1] 

机构地区：[1]佛山市中医院妇科,广东佛山528000

出　　处：《中国妇幼保健》2017年第15期3623-3626,共4页Maternal and Child Health Care of China

摘　　要：目的分析育龄期妇女阴道感染情况及相关危险因素,为女性阴道感染防治提供依据。方法通过生理盐水涂片法、生化检测428例育龄期妇女阴道分泌物,统计阴道感染率及其感染类型,分析清洁度分级、年龄、流产与否、初次性交年龄等对阴道感染的影响和育龄期妇女阴道感染危险因素。结果阴道感染280例,感染率65.42%。混合感染占12.50%;单一感染中细菌性阴道病(BV)最多,占34.28%;其次是外阴阴道假丝酵母菌(VVC),占28.57%。阴道清洁度Ⅰ~Ⅱ度感染率显著低于Ⅲ~Ⅳ度(P<0.05);不同年龄段妇女阴道感染率比较差异有统计学意义(P<0.05);Logistic回归分析显示,育龄期妇女阴道感染独立危险因素包括年龄>30岁、初次性交年龄≤23岁、流产次数≥2次、分娩次数≥2次、性伴侣≥2个、不使用避孕套。结论育龄期妇女阴道感染率较高,其中细菌性阴道病比较常见,其发生与女性初次性交年龄小、流产次数多、不使用避孕套等有关,需加强健康宣教及阴道感染普查。Objective To analyze the prevalence and risk factors of vaginal infection in women of childbearing age,and provide evidence for prevention and treatment of female vaginal infection. Methods Normal saline smear method and biochemical detection were performed to detect vaginal secretions of 428 women of childbearing age. The rates and types of vaginal infection were statistically analyzed. The effects of cleanliness grade,age,abortion history,and age of first sexual intercourse on vaginal infection and risk factors among the women of childbearing age were analyzed. Results There were 280 cases diagnosed as vaginal infection,and the infection rate was 65. 42%. Mixed infection accounted for 12. 50%. Bacterial vaginosis（ BV） was the main type of single infection,accounting for 34. 28%,followed by vulvovaginal candidiasis（ VVC）（ 28. 57%）. The vaginal infection rate of women with grade Ⅰ-Ⅱ cleanliness was statistically significantly lower than that of women with grade Ⅲ-Ⅳ cleanliness（ P〈0. 05）. There was statistically significant difference in vaginal infection rate among different age groups（ P〈0. 05）. Logistic regression analysis showed that more than 30 years old,the age of first sexual intercourse ≤23 years old,times of abortion≥2,times of delivery ≥2,number of sexual partners≥2,and not using condoms were independent risk factors of vaginal infection in women of childbearing age. Conclusion The vaginal infection rate is high in women of childbearing age,BV is common type of vaginal infection,which is related to young age of first sexual intercourse,more times of abortion and not using condoms.Health education and general screening of vaginal infection should be strengthened.

关 键 词：育龄妇女 阴道感染 阴道分泌物 危险因素 

分 类 号：R711.73[医药卫生—妇产科学]