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目的:综合评价生殖道感染的综合干预对控制我国育龄妇女内源性生殖道感染的效果。方法:检索近10年国内发表的关于育龄妇女细菌性阴道病和念珠菌性阴道炎的干预效果的研究。筛选文献、提取数据资料和进行质量评价后,采用RevMan5.0软件进行Meta分析。结果:共纳入13个研究,包括5个群组随机对照研究和8个干预前后对照研究,结果显示:①群组随机对照研究:细菌性阴道病患病率合并OR值为0.56(95%CI:0.37,0.84),念珠菌性阴道炎患病率合并OR值为0.50(95%CI:0.40,0.64);干预组患病率比对照组低。②干预前后对照研究:干预后细菌性阴道病患病率比干预前低(RD=-0.04,95%CI:-0.05,-0.02),干预后念珠菌性阴道炎患病率比干预前低(RD=-0.06,95%CI:-0.08,-0.03)。结论:在育龄妇女中进行生殖道感染的综合干预对降低生殖道感染的患病率有一定积极的作用。
OBJECTIVE: To evaluate the effects of comprehensive interventions for reproductive tract infections on controlling endogenous genital tract infections in women of childbearing age in our country. Methods: The research on the intervention effect of bacterial vaginosis and candidal vaginitis published in China in the past 10 years was retrieved. After screening the literature, extracting data and evaluating the quality, RevMan5.0 software was used for meta-analysis. Results: A total of 13 studies were included, including five randomized controlled trials and eight controlled trials before and after the intervention. The results showed that: (1) The cohort randomized controlled study: The combined prevalence of bacterial vaginosis was 0.56 (95% CI : 0.37, 0.84). The combined odds ratio of Candida vaginitis was 0.50 (95% CI: 0.40, 0.64). The prevalence in the intervention group was lower than that in the control group. ②The control study before and after intervention: The prevalence of bacterial vaginosis was lower after intervention than before intervention (RD = -0.04,95% CI: -0.05, -0.02). The prevalence of Candida vaginitis after intervention was lower than before intervention (RD = -0.06, 95% CI: -0.08, -0.03). Conclusions: The comprehensive intervention for reproductive tract infections among women of childbearing age has a positive effect on reducing the prevalence of genital tract infections.