关于妊娠期白带常规和细菌性阴道病三联检测的临床应用  

Clinical Application of Triple Testing for Routine Vaginal Discharge and Bacterial Vaginosis During Pregnancy

作　　者：黄少强 HUANG Shaoqiang(Department of Clinical Laboratory,Zhangzhou Xiangcheng Traditional Chinese Medicine Hospital,Zhangzhou 363000,China)

机构地区：[1]漳州市芗城中医院检验科,漳州363000

出　　处：《中国医药指南》2024年第30期114-116,共3页Guide of China Medicine

摘　　要：目的 探究妊娠期白带常规和细菌性阴道病(BV)三联检测的临床应用价值。方法 回顾性分析2020年1月至2023年12月在本院行白带常规和BV三联检测的10 115例妊娠期女性与非妊娠女性资料,其中5015例妊娠期女性设为妊娠组,5100例非妊娠女性设为非妊娠组。比较两组女性各检测指标阳性率,并对妊娠组女性进行年龄分组,分析不同年龄阶段各检测指标阳性率。结果 妊娠组与非妊娠组滴虫、线索菌阳率对比无显著差异(P> 0.05),妊娠组p H值> 4.5、念珠菌阳性率高于非妊娠组(P <0.05)。妊娠组过氧化氢、白细胞酯酶、唾液酸苷酶阳性率分别为57.17%、31.15%、8.55%,非妊娠组分别为50.57%、37.96%、7.00%,组间对比结果为P> 0.05。妊娠组不同年龄分组间(年龄<21岁、21~35岁、年龄> 35岁)念珠菌、滴虫、线索菌、过氧化氢、白细胞酯酶、唾液酸苷酶阳性率对比结果为P> 0.05。结论 白带常规与BV三联检测可有效检验妊娠期女性阴道健康状态,有助于指导治疗并预防并发症的发生,临床需给予足够重视。Objective To explore the clinical application value of triple detection of vaginal discharge routine and bacterial vaginosis(BV) during pregnancy.Methods A retrospective analysis was conducted on the data of 10 115 pregnant and non pregnant women who underwent routine vaginal discharge and BV triple testing in our hospital from January 2020 to December 2023.Among them,5015 pregnant women were designated as the pregnant group,and 5100 non pregnant women were designated as the non pregnant group.Compare the positive rates of various testing indicators between two groups of women,and divide pregnant women into age groups to analyze the positive rates of various testing indicators at different age stages.Results There was no significant difference in the positive rates of trichomonas and clue bacteria between the pregnant and non pregnant groups(P>0.05).The pregnant group had a pH value greater than 4.5 and a higher positive rate of candida than the non pregnant group,with significant differences between groups(P<0.05).The positive rates of hydrogen peroxide,leukocyte esterase,and sialidase in the pregnant group were 57.17%,31.15%,and 8.55%,respectively,while the positive rates of hydrogen peroxide,leukocyte esterase,and sialidase in the non pregnant group were 50.57%,37.96%,and 7.00%,respectively,there was no significant difference between the groups(P>0.05).There was no significant difference(P>0.05) in the positive rates of candida,trichomonas,clue bacteria,hydrogen peroxide,leukocyte esterase,and sialidase among pregnant women aged<21 years,21-35 years,and>35 years.Conclusions Routine vaginal discharge testing and BV triple detection can effectively assess the vaginal health status of pregnant women,which can help guide treatment and prevent complications.Clinical attention should be given to this issue.

关 键 词：妊娠期 白带常规 BV三联检测 阴道健康 年龄 

分 类 号：R714[医药卫生—妇产科学] R446.5[医药卫生—临床医学]