体检人群中老年女性阴道分泌物检查结果研究分析  

A Study on the Results of Vaginal Secretions of Elderly Women in Physical Examination Population

作　　者：满霞 钱波 MAN Xia;QIAN Bo(Huadong Sanatorium,Wuxi 214065,China)

机构地区：[1]华东疗养院,江苏无锡214065

出　　处：《标记免疫分析与临床》2024年第5期805-808,843,共5页Labeled Immunoassays and Clinical Medicine

基　　金：上海市加强公共卫生体系建设三年行动计划(2023—2025年)重点学科(编号:GWVI-11.1-28)。

摘　　要：目的研究分析体检人群中老年女性阴道清洁度及病原体感染的情况。方法回顾性分析2022年12月至2023年11月来我疗养院进行体检的共3198例老年女性阴道分泌物检查结果。结果3198例阴道分泌物中,清洁度I~II度2417例(75.6%),III~IV度781例(24.4%),检出真菌16例(0.5%)、滴虫0例(0.0%)、线索细胞30例(0.9%)。60~74岁组清洁度III~IV度检出率高于75~89岁组,组间比较差异有统计学意义(P<0.05)。清洁度III~IV度检出率不同季节比较差异有统计学意义(P<0.001),其中冬季显著高于春季(P<0.001)、夏季(P<0.0083)、秋季(P<0.001),夏季显著高于秋季(P<0.0083)。60~74岁组阴道分泌物中白细胞检出率高于75~89组,组间比较差异有统计学意义(P<0.05)。线索细胞检出率不同季节比较差异有统计学意义(P<0.05),其中夏季显著高于秋季(P<0.0083)。结论体检人群中老年女性阴道清洁度下降,真菌、滴虫、细菌感染率不高。60~74岁老年女性异常阴道清洁度检出率较高。冬季异常清洁度检出率较高,夏季细菌感染率较高。Objective To study and analyze the condition of vaginal cleanliness and pathogen infection in elderly women.Methods The results of vaginal secretions of 3198 elderly women who visited our nursing home for physical examination from December,2022 to November,2023 were retrospectively analyzed.Results Among 3198 vaginal secretions,we detected 2417 cases(75.6%)with degree I to II cleanliness,781 cases(24.4%)with degree III to IV cleanliness,16 cases(0.5%)with fungi,0 cases(0.0%)with trichomonas and 30 cases(0.9%)with clue cells.The cleanliness III-IV detection rate in 60-74 years old group was significantly higher than that in 75-89 years old group(P<0.05).The detection rate of cleanliness degree III to IV was significantly higher in winter than in spring(P<0.001),summer(P<0.0083),and autumn(P<0.001),while summer was significantly higher than autumn(P<0.0083).The detection rate of leukocyte in vaginal secretions in 60-74 years old group was significantly higher than that in 75-89 group(P<0.05).The detection rate of clue cells in different seasons was significantly different(P<0.05),and the rate in summer was significantly higher than that in autumn(P<0.0083).Conclusion The vaginal cleanliness degrees of elderly women in the physical examination population decrease,and the infection rates of fungi,trichomonas and bacteria are not high.The detection rate of abnormal vaginal cleanliness in 60-74 years old women is relatively higher.The detection rate of abnormal cleanliness is higher in winter,and the bacterial infection rate is higher in summer.

关 键 词：老年女性 真菌 滴虫 线索细胞 

分 类 号：R711.31[医药卫生—妇产科学]