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目的:了解厦门地区妇女阴道炎流行情况及年龄、季节等因素对各类阴道炎发生及病原学分布的影响。方法:对妇科门诊13102例阴道分泌物行白带常规联合BV三联法检测。结果:13102例患者中BV、假丝酵母菌属和滴虫感染的阳性检出率分别为9.0%、10.4%和1.2%;患者清洁度Ⅲ～Ⅳ度的BV检出率显著高于清洁度Ⅰ～Ⅱ度的患者(P<0.001);患者年龄20～39岁人群为阴道炎发病高危人群,而各年龄段感染病因均以假丝酵母菌属和BV感染为主;BV、假丝酵母菌属、滴虫和BV合并假丝酵母菌属阳性检出率季节间存在差异(χ2>9.488,P<0.05),各类阴道炎阳性检出率夏季最高。结论:假丝酵母菌属、BV是阴道炎患者的主要病原感染原因,同时育龄妇女是各类阴道炎发病的高危人群,而夏季尤其要注意对各类阴道炎的防治。
Objective: To understand the prevalence of vaginitis in women in Xiamen and age, season and other factors on the incidence of various types of vaginitis and etiology. Methods: A total of 13102 cases of gynecological clinic vaginal discharge vaginal discharge routine combined BV triple detection. Results: The positive rates of BV, Candida and Trichomonas infection in 13102 patients were 9.0%, 10.4% and 1.2%, respectively. The detection rate of BV in patients with Ⅲ ~ Ⅳ degree of cleanliness was significantly higher than that of cleanliness Ⅰ ~ Ⅱ degree patients (P <0.001). Patients aged 20-39 years old were at high risk of vaginitis, while Candida and genital BV infections were the main causes of infection in all age groups. BV, Candida The positive detection rate of the genus Trichomonas, Trichomonas and BV with Candida were different in the seasons (χ2> 9.488, P <0.05). The positive rates of all kinds of vaginitis were the highest in summer. Conclusion: Candida, BV is the main cause of vaginitis infection, at the same time women of childbearing age are all kinds of high incidence of vaginitis crowd, and in summer, with particular attention to the prevention and treatment of various types of vaginitis.