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目的:分析南京市玄武区流动人口孕早中期妇女生殖道感染情况。方法:对2009年1月～2010年12月在南京市玄武区妇幼保健所建立围产保健卡和产检的1 405例流动人口孕早中期妇女进行阴道分泌物湿片检查霉菌、滴虫、细菌感染;抽取静脉血进行HIV抗体及梅毒血清学筛查,并就感染者孕期、孕次、年龄、职业等进行单因素分析。结果:共检出生殖道感染者234例,总患病率16.65%。其中外阴阴道假丝酵母菌病为8.61%;细菌性阴道病为5.55%;滴虫性阴道炎为2.28%;梅毒患病率为0.21%;未发现HIV抗体阳性者。生殖道感染患病率与孕期、年龄、文化程度等因素有关。结论:1 405例孕早中期孕妇生殖道感染以外阴阴道假丝酵母菌病居首位,其次为细菌性阴道病、滴虫性阴道炎、梅毒。生殖道感染患病率与孕期、年龄、文化程度等因素有关。因此,加强宣教工作及孕早中期常规检查,对减少孕妇生殖道感染、提高母婴保健质量起到关键性作用。
Objective: To analyze the prevalence of genital tract infection in the early and middle stages of floating population in Xuanwu District, Nanjing. Methods: From January 2009 to December 2010, 1 405 cases of migrant women who had perinatal health care card and check-ups in MCH in Nanjing Xuanwu District were tested for vaginal discharge by wet-screening for mold, trichomoniasis and bacterial infection ; Venous blood was drawn for HIV antibody and syphilis serological screening, and unilateral factor analysis of pregnancy, pregnancy time, age, occupation and so on. Results: A total of 234 cases of genital tract infections were detected, with a total prevalence of 16.65%. Among them, vulvovaginal candidiasis was 8.61%, bacterial vaginosis was 5.55%, trichomonas vaginitis was 2.28%, syphilis was 0.21%, and no HIV antibody was found. The prevalence of genital tract infection and pregnancy, age, education level and other factors. CONCLUSIONS: A total of 1,405 pregnant women with early pregnancy and middle-aged reproductive tract infections were predominantly vulvovaginal candidiasis, followed by bacterial vaginosis, trichomonas vaginitis and syphilis. The prevalence of genital tract infection and pregnancy, age, education level and other factors. Therefore, to strengthen missionary work and routine examination in early pregnancy and mid-pregnancy plays a key role in reducing reproductive tract infections among pregnant women and improving the quality of maternal and infant health care.