细菌性阴道病发生的危险因素分析

Analysis of risk factors for bacterial vaginosis

目的了解平素的生活及卫生习惯对生育年龄女性细菌性阴道病发生的影响,寻找引起该年龄段女性细菌性阴道病发生的危险因素。方法选取2014年7月至2014年9月北京大学第一医院妇产科门诊就诊需要进行阴道微生态检查的生育年龄非妊娠期既往无阴道炎病史的细菌性阴道病270例患者及同期进行阴道微生态检查正常的660例患者进行问卷调查,调查结果进行细菌性阴道病发生的危险因素分析。结果性生活次数的增加、阴道冲洗、经期不清洗外阴、男性性生活前不清洗外阴、不使用避孕套避孕是细菌性阴道病发生的危险因素,两组之间相比差异有统计学意义,P<0.05。结论平素不良的生活及卫生习惯与生育年龄女性细菌性阴道病的发生有关,对平素的生活及卫生习惯的健康教育有可能会降低该病的发病率。

Objective To find the risk factors of bacterial vaginosis in women of reproductive age, and explore the impact of investigate their daily living habits and hygiene practices on the development of the disease. Methods A questionnaire survey was conducted among 270 outpatients with bacterial vaginosis and 660 ones with normal va- ginal microecological test results in the Gynaecology Department of Peking University First Hospital during July and Sep. 2014. The results were analyzed for the risk factors of bacterial vaginosis. Results The increasing number of sexual activities and vagina flushing were the risk factors of bacterial vaginosis. Vulva cleansing during menstrual period, male external genitalia cleansing before sex, and use of condom reduced the risks of bacterial vaginosis oc- curs ; they were protective factors. There were statistically significant difference between the two groups. Conclusion Bacterial vaginosis in women of reproductive age is associated with daily living habits and hy- giene habits. Health education on daily living habits and hygiene practices in reproductive-aged women and their sexual partners migh help to reduce the incidence of this disease.