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目的:了解社区育龄女性生殖道感染防治情况,尤其是阴道炎的患病类型以及影响因素,为社区生殖道感染防治提供依据。方法:对2015年4月-2017年4月在我院妇科门诊就诊的阴道炎患者300例,进行回顾性分析和总结。结果:所有患者中,外阴细菌性阴道病(BV)患者114例,占38.0%;外阴阴道假丝酵母菌病(VVC)患者117例,占39.0%、滴虫性阴道炎(TV)患者42例,占14.0%、淋菌性阴道炎(GV)患者27例,占9.0%。外阴细菌性阴道病(BV)患者和外阴阴道假丝酵母菌病(VVC)患者的患病率明显高于滴虫性阴道炎(TV)患者和淋菌性阴道炎(GV)患者。差异有统计学意义(P<0.05)。在VVC的年龄分类中可以看到感染率的检出随年龄增长呈下降趋势,L1(19-29)组患者的感染检出率明显高于L2(30-39) 组和L3(40-50)组(P<0.05),在TV的年龄分类中可以看到感染率的检出随年龄增长呈下降上升趋势,L3(40-50)组的感染检出率明显高于L1(19-29)组和L2(30-39) 组(P<0.05)。在TV和GV的年龄分类中可以看到感染的检出差异无统计学意义(P>0.05)。结论:社区育龄女性为感染性阴道炎的好发人群,尤其是BV、VVC发病率较高;应积极做好社区健康教育,针对生殖道感染易感因素及早进行干预和预防工作。
OBJECTIVE: To understand the prevention and treatment of genital tract infections among women of childbearing age in community, especially the prevalence of vaginitis and its influencing factors, so as to provide basis for the prevention and treatment of community reproductive tract infections. Methods: From April 2015 to April 2017, 300 cases of vaginitis in gynecology clinic of our hospital were retrospectively analyzed and summarized. Results: Among all the patients, 114 cases were found in patients with vulvovaginal vaginosis (BV), accounting for 38.0%; 117 cases were vulvovaginal candidiasis (VVC), accounting for 39.0%; patients with trichomonas vaginitis Cases, accounting for 14.0%, 27 cases of gonococcal vaginitis (GV), accounting for 9.0%. The prevalence of patients with vulvovaginal vaginosis (BV) and vulvovaginal candidiasis (VVC) is significantly higher than with patients with trichomonas vaginitis (TV) and gonococcal vaginitis (GV). The difference was statistically significant (P <0.05). In the age class of VVC, we can see that the detection rate of infection showed a declining trend with age, and the detection rate of infection in patients with L1 (19-29) was significantly higher than those in patients with L2 (30-39) and L3 ) (P <0.05). The detection rate of infection decreased with the increase of age in TV age classification. The detection rate of infection in L3 (40-50) group was significantly higher than that of L1 (19-29 ) Group and L2 (30-39) group (P <0.05). There was no significant difference in the detection of infection between the TV and GV categories (P> 0.05). Conclusions: Women of childbearing age in community are predominant people with infectious vaginitis, especially BV and VVC. The community health education should be actively carried out. Early intervention and prevention should be carried out according to the predisposing factors of reproductive tract infection.