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目的了解育龄期妇女细菌性阴道病(BV)感染状况及其合并霉菌性阴道炎和滴虫性阴道炎的感染状况。方法收集潮州市某妇幼保健院2007年1月至2008年7月妇科门诊育龄期妇女的阴道分泌物标本3 250份,应用BV快速诊断试剂盒进行检测,同时做分泌物直接生理盐水涂片检测霉菌、滴虫。结果3 250例标本中,BV阳性796例,阳性率为24.5%。796例BV阳性者中合并霉菌感染152例,感染率为19.1%,合并滴虫感染126例,感染率为15.8%;2 454例BV阴性者中合并霉菌感染313例,感染率为12.8%,合并滴虫感染134例,感染率为5.5%;BV阳性者的霉菌和滴虫感染率均高于BV阴性者,差异有统计学意义(均P<0.01)。结论该院妇科门诊育龄期妇女BV检出率较高,BV合并霉菌、滴虫感染也存在一定比例,建议将BV检测作为妇科检查的一项常规检测项目,以利于育龄妇女BV的早期诊断和早期治疗。
Objective To investigate the prevalence of bacterial vaginosis (BV) in women of childbearing age and the prevalence of fungal vaginitis and trichomonas vaginitis. Methods A total of 3 250 samples of vaginal secretions of women of childbearing age from January 2007 to July 2008 in Chaozhou were collected. Mold, trichomoniasis. Results Among 3 250 samples, 796 were positive for BV, the positive rate was 24.5%. Of the 796 BV-positive cases, 152 were complicated with mold infection, the infection rate was 19.1%, 126 cases were infected with trichomoniasis, the infection rate was 15.8%; 313 out of 2 454 BV-negative cases were infected with mold, the infection rate was 12.8% 134 cases were infected with Trichomonas and the infection rate was 5.5%. The infection rates of mold and Trichomonas were higher in BV positive than BV negative (P <0.01). Conclusions The detection rate of BV in gynecology clinic of women of childbearing age is higher than that of BV in combination with mold and trichomoniasis. It is suggested that BV test should be taken as a routine test for gynecological examination to facilitate the early diagnosis of BV in women of childbearing age and Early treatment.