目的:探讨杭州地区育龄妇女围产期阴道感染类型。方法:采集就诊围产期育龄妇女阴道分泌物两份,1份用于形态学检查,1份用于功能学分析,形态学检查联合功能学分析确诊阴道感染类型。结果:围产期育龄妇女阴道感染主要以VVC和BV为主,其次为AV、TV、CV;孕早、中、晚期AV、BV、CV、TV、VVC的发病率差异无统计学意义(P>0.05)。与孕期相比,产后42天AV、BV、TV、VVC的发病率呈显著升高态势(P<0.05),CV发病率无显著变化(P>0.05)。与孕期相比,对照组AV、BV、CV、TV、VVC的发病率明显升高(P<0.05);与产后42天相比,对照组AV、BV、CV、TV、VVC的发病率有上升趋势,但差异无统计学意义(P>0.05)。孕期适龄组和高龄组孕产妇AV、BV、CV、TV、VVC的发病率差异无统计学意义(P>0.05)。结论:围产期育龄妇女阴道感染主要以VVC和BV为主,应采取科学有效措施在围产期间加强阴道感染防控,保障孕产妇及胎儿身体健康。 Objective: To investigate the types of perinatal vaginal infections among women of childbearing age in Hangzhou. Methods: Two copies of vaginal secretions of women of childbearing age during perinatal period were collected, 1 for morphological examination, 1 for functional analysis and morphological examination combined with functional analysis to confirm the type of vaginal infection. Results: The main vaginal infections of women of childbearing age during perinatal period were mainly VVC and BV, followed by AV, TV and CV. There was no significant difference in the incidence of AV, BV, CV, TV and VVC in early pregnancy, middle and late pregnancy > 0.05). Compared with that during pregnancy, the incidence of AV, BV, TV and VVC increased significantly on the 42nd day postpartum (P <0.05), while the incidence of CV had no significant change (P> 0.05). The incidence of AV, BV, CV, TV and VVC in control group was significantly higher than that in pregnancy (P <0.05). Compared with 42 days after birth, the incidence of AV, BV, CV, TV and VVC in control group was But the difference was not statistically significant (P> 0.05). There was no significant difference in the incidence of AV, BV, CV, TV, VVC in the pregnant and middle-aged and middle-aged pregnant women (P> 0.05). Conclusions: Vaginal infections in women of childbearing age are mainly VVC and BV, and scientific and effective measures should be taken to strengthen the prevention and control of vaginosis during perinatal period to ensure the health of pregnant women and fetuses.