某少数民族地区妊娠妇女阴道炎感染情况分析  

Analysis of Vaginitis Infection in Pregnant Women in a Certain Ethnic Minority Area

作　　者：刘常艳 LIU Chang-yan(Songtao Miao Autonomous County Maternal and Child Health Center,Tongren Guizhou 554100,China)

机构地区：[1]松桃苗族自治县妇幼保健院检验科,贵州铜仁554100

出　　处：《中华养生保健》2024年第10期89-92,共4页CHINESE HEALTH CARE

摘　　要：目的通过分析某少数民族地区529例妊娠妇女阴道分泌物常规检查结果,探讨该少数民族地区妊娠妇女阴道炎感染情况及致病因素。方法对2022年4月—2023年3月松桃苗族自治县妇幼保健院进行初次产前检查的529例妊娠妇女阴道分泌物常规检查结果进行回顾性分析,并比较不同年龄段、不同孕期和不同季节性阴道炎感染情况。结果529例标本清洁度异常(Ⅲ度、Ⅳ度)有183例(占34.59%),其中有169例标本检出病原体,以霉菌最为常见(101例,占59.76%)。年龄40岁以上妇女病原体检出率为48.89%,远高于20岁以下和20~40岁年龄组人群;晚期妊娠妇女病原体检出率(35.09%)稍高于早期妊娠和中期妊娠;夏季病原体检出率(34.73%)高于其他季节。结论该少数民族地区妊娠妇女阴道炎感染情况不容乐观,40岁以上高龄妇女是感染的高危人群,霉菌是主要病原体,病原体检出情况与孕期以及季节性无明显相关性。Objective To investigate the results of routine examination of vaginal secretions of 529 pregnant women in an ethnic minority area,and to investigate the situation of vaginitis infection and causative factors of pregnant women in this ethnic minority area.Methods A retrospective method was used to analyze 529 cases of vaginal secretions of pregnant women who underwent the first prenatal examination at a maternal and child health center in an ethnic minority area from April 2022 to March 2023,and to compare the infection of vaginitis in different age groups,different trimesters and different seasons.Results 183 cases(34.59%)of the 529 specimens were found to have abnormal cleanliness(degree III and IV),and pathogens were detected in 169 of them,with mycobacteria being the most common(101 cases,59.76%).The detection rate of pathogens was 48.89%in women over 40 years of age,which was much higher than that in the age groups of under 20 and 20-40 years of age;the detection rate of pathogens in women with late pregnancy(35.09%)was slightly higher than that in early pregnancy and mid-term pregnancy;and the detection rate of pathogens in the summer(34.73%)was higher than that in other seasons.Conclusion The situation of vaginitis infection among pregnant women in this ethnic minority area is not optimistic,and women over 40 years of age are the high-risk group for infection,and mycobacteria are the main pathogens,with no significant correlation between the detection of pathogens and pregnancy and seasonality.

关 键 词：妊娠期 生殖道感染 阴道分泌物 霉菌 线索细胞 阴道毛滴虫 

分 类 号：R711.31[医药卫生—妇产科学]