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作 者:胡珊珊[1] 李翠芬[2] 李艳红[3] Hu Shanshan;Li Cuifen;Li Yanhong(Department of Clinical Laboratory,the Third People’s Hospital of Anyang,Anyang 455000,China;Department of Clinical Laboratory,Anyang People’s Hospital,Anyang 455000,China;Department of Clinical Laboratory,Anyang Regional Hospital,Anyang 455000,China)
机构地区:[1]河南省安阳市第三人民医院检验科,455000 [2]河南省安阳市人民医院检验科,455000 [3]河南省安阳地区医院检验科,455000
出 处:《中国实用医刊》2021年第20期63-65,共3页Chinese Journal of Practical Medicine
摘 要:目的探讨260例阴道混合感染患者阴道菌群分布特征及风险因素。方法抽取2020年1月至2021年1月安阳市第三人民医院收治的阴道混合感染患者260例, 另抽取同期体检阴道未感染者120例。采集受试者阴道分泌物检测阴道菌群种类并判读感染类型, 感染相关影响因素行Logistic回归分析。结果 260例阴道混合感染患者以需氧菌性阴道炎+细菌性阴道病(BV)+解脲支原体(UU )感染为主, 占47.69%;其次为BV+UU, 占26.54%。Logistic回归分析显示, 合并糖尿病OR=1.984、P=0.037, 初次性交年龄≤22岁OR=2.853、P=0.016, 性伴侣数量>2人OR=4.182、P=0.002, 人工流产>2次OR=3.109、P=0.012, 分娩次数>2次OR=3.342、P=0.009, 未避孕套避孕OR=5.093、P=0.001。结论阴道混合感染患者阴道菌群以需氧菌、细菌、解脲支原体为主, 合并糖尿病、初次性交年龄、性伴侣数量、人工流产、分娩次数、未避孕套避孕是阴道混合感染的影响因素。Objective To investigate the distribution characteristics and risk factors of vaginal flora in 260 patients with mixed vaginal infection.Methods A total of 260 patients with mixed vaginal infection who were admitted to the Third People’s Hospital of Anyang from January 2020 to January 2021 were selected,and another 120 patients with uninfected vagina were selected for physical examination during the same period.The vaginal secretions of the subjects were collected to detect the types of vaginal flora and determine the type of infection.Logistic regression analysis was performed on the influencing factors of infection.Results The 260 patients with mixed vaginal infection were mainly aerobic vaginitis+bacterial vaginosis(BV)+ureaplasma urealyticum(UU)infection,accounting for 47.69%;followed by BV+UU,accounting for 26.54%.Logistic regression analysis showed that with diabetes,OR=1.984,P=0.037,age at first sexual intercourse≤22 years,OR=2.853,P=0.016,number of sexual partners>2 OR=4.182,P=0.002,induced abortion>2 times OR=3.109,P=0.012,number of deliveries>2 times OR=3.342,P=0.009,contraceptive without condom OR=5.093,P=P=0.001.Conclusions The vaginal flora of patients with mixed vaginal infection is mainly aerobiont,bacteria,and ureaplasma urealyticum.Diabetes,age at first sexual intercourse,number of sexual partners,induced abortion,number of childbirths,contraception without condoms are the influencing factors of mixed vaginal infection.
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