VVC高发区与低发区患者的流行病学研究

The epidemic investigation on vulvovaginal candidiasis (VVC) patients in high and low incident regions

目的:了解中国VVC高发区与低发区妇科门诊中VVC的发病特点。方法:对2004年7月15日所选医院的所有就诊妇科、计划生育科的患者进行调研登记,对VVC患者进行VVC患者调研表登记,将14家医院VVC患者分为高发区组和低发区组,比较两组患者的流行病学资料,并与同日就诊的非VVC患者进行比较。结果:①各医院VVC的发生率存在显著性差异。②高发组VVC患者与正常人群相比,更多地使用了不洁卫生用品。③低发组VVC患者与正常人群相比,平时不太重视清洗外阴而且更经常地使用抗生素。结论:VVC是1种非常常见的非常影响女性健康的疾病,它的发生与患者的卫生习惯以及经常使用抗生素有密切关系。宣传正确的女性卫生保健知识,避免滥用抗生素,以减少VVC的发生。

Objective： To investigate the epidemic characteristic of vulvovaginal candidiasis （VVC） patients in gynecologic clinic of highly incident regions and lowly incident regions. Methods ： Vaginal samples of all the patients going to gynecologic and birth control out - patient clinic in 14 hospitals on July 15th 2004 were examined by mycology. The patients with positive result and have at least one kind of symptoms/signs of VVC were registered. All VVC patients were divided into 2 groups by different incident rate. Results： ①There was signifi- cant difference in incident rate in different hospital. ②The VVC patients of highly incident regions used more dirty hygienic articles than the normal group. ③Compared with normal group, the VVC patients in low incident regions attached less importance to clean vulva and use more antibiotics. Conclusion ： VVC is a common disease which influences the health of many women. Bad health habit, often using antibiotics for long term may lead to VVC. It is necessary to make all the women know the right health knowledge and tell them not abuse antibiotics.