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目的:观察病征处理方案在诊断妇女生殖道感染中的临床价值。方法:应用世界卫生组织(WHO)倡导和中国疾病预防控制中心性疾病控制中心(CDC)制定的病症处理方案流程图,对宁波城区755例生殖道感染妇女进行妇科检查和实验室检测。结果:临床诊断为淋病和/或衣原体感染的敏感性为70.2%,特异性为45.8%,阳性预期值为27.1%,阴性预期值为84.3%。妇女生殖道感染率为40%,感染与年龄、职业、文化水平和经济条件相关。结论:WHO倡导和CDC制定的病征处理方案流程图在诊断妇女生殖道感染中具有快速、准确、简便、省事、经济和实用的优点。
OBJECTIVE: To observe the clinical value of symptom management in the diagnosis of reproductive tract infections in women. Methods: A total of 755 reproductive tract infections women in Ningbo urban area were tested for gynecological examination and laboratory tests by using the flow chart of the disease treatment plan developed by the World Health Organization (WHO) and the CDC of China Center for Disease Control and Prevention. Results: The sensitivity of clinical diagnosis of gonorrhea and / or chlamydial infection was 70.2%, specificity was 45.8%, positive predictive value was 27.1% and negative predictive value was 84.3%. The prevalence of reproductive tract infections in women is 40%, and the infection is related to age, occupation, literacy and economic conditions. Conclusion: The flow chart of symptom management scheme developed by WHO and CDC is rapid, accurate, convenient, economical, practical and practical for diagnosing genital tract infections in women.