阴道炎患者阴道毛滴虫感染状况调查

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目的研究阴道毛滴虫患者感染情况,为临床患者感染防治提供指导。方法收集2016年某医院妇科和生殖医学门诊就诊的859例患者的临床资料,采用生理盐水直接涂片检测患者阴道分泌物中阴道毛滴虫。采用卡方检验进行统计学分析。方法收集2016年某医院妇科和生殖医学门诊就诊的859例患者的临床资料,采用生理盐水直接涂片检测患者阴道分泌物中阴道毛滴虫。采用卡方检验进行统计学分析。结果 859例就诊者中阴道毛滴虫感染77例,感染率8.96%。<45岁和≥45岁患者阴道毛滴虫感染率分别为11.79%和6.61%,差异有统计学意义(χ2=4.9159,P=0.0266)。春、夏、秋和冬季阴道毛滴虫感染率分别为13.14%(31/236)、6.37%(13/204)、7.98%(17/213)和7.77%(16/206);春季感染率最高,与其他季节比较,差异有统计学意义(χ2=6.939,P=0.0084)。农民、工人、教师、服务业者阴道毛滴虫感染率分别为12.45%(33/265)、8.53%(18/211)、5.95%(11/185)和7.58%(15/198);农民感染率最高,与其他各组比较,差异有统计学意义(χ2=5.7164,P=0.0168)。未婚患者和已婚者感染率分别为5.19%(11/212)和10.20%(66/647),差异有统计学意义(χ2=4.9159,P=0.0266)。经常清洁外阴者和不经常清洁外阴者感染率分别为6.32%(23/364)和10.91%(54/495),差异有统计学意义(χ2=5.4163,P=0.0199)。采用避孕套患者和口服避孕药或无避孕患者感染率分别为5.47%(18/329)和11.13%(59/530),差异有统计学意义(χ2=7.9716,P=0.0048)。结论阴道毛滴虫感染率青年高于中老年,且春季是感染高峰期。农民、已婚及不经常清洁外阴者感染率均较高,且口服避孕药或无避孕患者感染率明显高于使用避孕套者,加强健康教育,改善卫生习惯有利于降低阴道毛滴虫的感染。 Objective To study the infection of Trichomonas vaginalis patients and provide guidance for the prevention and treatment of infection in clinical patients. Methods The clinical data of 859 patients attending the Gynecology and Reproductive Medicine Clinic of a hospital in 2016 were collected. Trichomonas vaginalis was detected by direct smear with saline in the vagina. Using chi-square test for statistical analysis. Methods The clinical data of 859 patients attending the Gynecology and Reproductive Medicine Clinic of a hospital in 2016 were collected. Trichomonas vaginalis was detected by direct smear with saline in the vagina. Using chi-square test for statistical analysis. Results Among 859 cases, 77 cases were infected with Trichomonas vaginalis, the infection rate was 8.96%. The prevalence rates of Trichomonas vaginalis in patients <45 years old and ≥45 years old were 11.79% and 6.61%, respectively, with statistical significance (χ2 = 4.9159, P = 0.0266). The infection rates of Trichomonas vaginalis in spring, summer, autumn and winter were 13.14% (31/236), 6.37% (13/204), 7.98% (17/213) and 7.77% (16/206) The highest, compared with other seasons, the difference was statistically significant (χ2 = 6.939, P = 0.0084). The infection rates of Trichomonas vaginalis among peasants, workers, teachers and service workers were 12.45% (33/265), 8.53% (18/211), 5.95% (11/185) and 7.58% (15/198) The highest rate, compared with the other groups, the difference was statistically significant (χ2 = 5.7164, P = 0.0168). The prevalence rates of unmarried and married were 5.19% (11/212) and 10.20% (66/647), respectively. The difference was statistically significant (χ2 = 4.9159, P = 0.0266). The infection rates of vulvae who had regular cleansing and those who did not clean the vulva were 6.32% (23/364) and 10.91% (54/495), respectively. The difference was statistically significant (χ2 = 5.4163, P = 0.0199). The infection rates of condom patients, oral contraceptives and non-contraceptives were 5.47% (18/329) and 11.13% (59/530), respectively. The difference was statistically significant (χ2 = 7.9716, P = 0.0048). Conclusion Trichomonas vaginalis infection rate in young people is higher than that in middle-aged people, and spring is the peak of infection. Peasants, married and not clean genital infection rates were higher, and oral contraceptives or contraceptive infection rate was significantly higher than those who use condoms, strengthen health education, improve health habits help to reduce the infection of Trichomonas vaginalis .
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