32046名妇科门诊女性阴道微生态分布情况分析  

Analysis on vaginal micro-ecology of 32046 outpatients

作　　者：王晓茜[1] 张蕾[1] 孙晓彤[1] 廖秦平[1] 刘瑛[1] 王颖[1] 黄振宇[1] 吕涛[1] 朱云珊 WANG Xiaoqian;ZHANG Lei;SUN Xiaotong;LIAO Qinping;LIU Ying;WANG Ying;HUANG Zhenyu;LV Tao;ZHU Yunshan(Department of Obstetrics and Gynecology,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院,清华大学临床医学院,102218

出　　处：《中国妇产科临床杂志》2022年第2期143-145,共3页Chinese Journal of Clinical Obstetrics and Gynecology

基　　金：国家自然科学基金(81671409);北京市自然科学基金(7202239);北京市属医院科研培育计划项目(PX2017040)。

摘　　要：目的分析妇科门诊女性阴道微生态分布情况及特征。方法选取2015年1月至2020年2月门诊就诊的女性32046例,对其阴道微生态结果进行回顾性分析。结果32046例患者中,阴道微生态正常者2790例(8.71%),阴道微生态异常者29256例(91.29%)。其中在阴道微生态异常中,单纯性阴道炎占23.14%(7417/32046),混合性阴道炎占9.63%(3085/32046)。单纯性阴道炎以细菌性阴道炎(BV)为主(9.29%,2976/32046),其次为外阴阴道假丝酵母菌病(VVC)(8.93%,2863/32046)。混合性阴道炎以BV+需氧菌性阴道炎(AV)为主(6.29%,2016/32046),BV+VVC居第二(2.03%,649/32046)。不同年龄段单纯性及混合性阴道炎构成比比较,差异有统计学意义(P=0.00)。结论阴道微生态评价系统在诊断阴道炎症方面有突出的优势,可以提高混合性阴道炎的诊断率。Objective To analyze the distribution and characteristics of female vaginal micro-ecology in gynecological clinic.Methods From January 2015 to February 2020,32046 female outpatients were selected to conduct a retrospective analysis of the results of vaginal micro-ecology.Results The vaginal micro-ecology of 2790 patients(8.71%)was normal;however,the other 29256 patients(91.29%)were abnormal,which including simple vaginitis in 7417 cases(7417/32046,23.14%)and the mixed vaginitis in 3085 cases(3085/32046,9.63%).The bacterial vaginosis(BV)occupied for 9.29%(2976/32046),which is the most common type among the simple vaginitis.The vulvovaginal candidiasis(VVC)occupied for 8.93%(2863/32046).Mixed vaginitis is given priority to BV and AV infection(2016/32046,6.29%),followed by BV and VVC(649/32046,2.03%).Vaginitis is closely related to age,the difference is statistically significant(P=0.00).Conclusion Vaginal evaluation system has outstanding advantages in the diagnosis of vaginitis,and can improve the diagnosis rate of mixed vaginitis.

关 键 词：阴道微生态 单纯性阴道炎 混合性阴道炎 阴道炎 

分 类 号：R711.31[医药卫生—妇产科学]