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目的调查不同年龄阴道炎患者阴道分泌物清洁度、念珠菌、滴虫和线索细胞的检出情况。方法对2013年1月-12月在浙江萧山医院妇科门诊就诊的18 748例阴道炎患者阴道分泌物检测结果进行回顾性分析,患者分为5个年龄组,数据分析采用X2检验。结果清洁度Ⅰ~Ⅳ度检出率分别为2.92%、36.87%、42.85%和17.67%;念珠菌、滴虫和线索细胞检出率分别为15.7%、1.56%、8.01%;清洁度Ⅰ~Ⅱ度总检出率以20岁及以下年龄组最高(69.4%),Ⅲ~Ⅳ度总检出率以51岁及以上年龄组最高(70.27%),其中21~30岁年龄组清洁度Ⅲ度和念珠菌检出率均最高,51岁及以上年龄组清洁度Ⅳ度检出率最高;41~50岁年龄组滴虫和线索细胞检出率均最高。结论浙江萧山地区女性阴道炎防治现状不容乐观,不同年龄患者因生理因素和个人行为因素不同导致感染现况存在较大差异。
Objective To investigate the vaginal discharge of different ages, vaginal discharge, Candida, trichomoniasis and ciliary cells detected. Methods The vaginal secretions of 18 748 vaginitis patients who visited the gynecology clinic of Zhejiang Xiaoshan Hospital from January 2013 to December 2013 were retrospectively analyzed. The patients were divided into 5 age groups and the data were analyzed by X2 test. Results The detection rates of grade I to grade Ⅳ were 2.92%, 36.87%, 42.85% and 17.67%, respectively. The positive rates of candida, trichomonas and ciliary cells were 15.7%, 1.56% and 8.01% The overall detection rate of Ⅱ degree was the highest (69.4%) in the age group of 20 years old and below, the highest detection rate of Ⅲ ~ Ⅳ degree was in the group of 51 years old and above (70.27%), and the cleanness in the age group of 21 ~ 30 years Ⅲ Degree and Candida were the highest, and the highest detection rate of grade Ⅳ in the age group of 51 and over was the highest. The detection rates of trichomoniasis and clue cells were the highest in the age group of 41-50 years old. Conclusions The current status of prevention and treatment of vaginitis in Xiaoshan district of Zhejiang Province is not optimistic. There are big differences in the status of infection among different age groups due to different physiological factors and individual behavioral factors.