女性STD患者复发性外阴阴道念珠菌病复发原因探讨

Research on the recurrent factors of female STD patients with recurrent vulvovaginal candidiasis

目的探讨女性STD患者复发性外阴阴道念珠菌病(RVVC)的复发原因及与STD的相关性。方法对130例RVVC患者进行问卷调查并进行性病检查,对350例女性STD患者只进行性病检查。结果RVVC复发因素在多个性伴侣、性生活较频、患病后未禁止性生活、合并其他STD、长期使用抗生素等因素中所占比例较高;各种性病阴道念珠菌检出率以尖锐湿疣最高(72.31%),滴虫病、细菌性阴道病最低(26.53%、19.05%)。两组阴道念珠菌培养,主要分离出白念珠菌(75.38%,81.55%),非白念珠菌有上升趋势,分别为26.15%和16.67%,两组比较有显著性差异(P<0.05)。结论性传播是RVVC复发的重要因素。RVVC与STD具有明显相关性,故在RVVC确诊之前必须常规作性病检查,以免漏诊。

Objective ： To discuss the recurrent factors of female patients with RVVC and the correlation with STD. Methods ： 130 RWC patients were surveyed according to a uniform questionnaire designed for this study and were examined tot STD ;only STD examinations were performed for 350 female STD patients. Results： Multiple sexual partners, frequent sexual intercourse, sexual intercourse after diseases,having other STD and long term using antibiotics are main recurrent factors of RVVC ;in the detectable rate of vulvovaginal candidiasis of various STD,condyloma acuminatum was the highest （72. 31%）, trichomoniasis （26. 53%） and bacterial vaginosis （19. 05%） were the lowest, in two groups of vaginal candidiasis ,Candida albicans was isolated （75. 36 %, 81.55 %）, non-Candida albicans showed rising tendency （26. 15%, 16. 67%）. There was significant difference between the two groups （P〈 0. 05）. Conclusion.. Sexual transmission is a key factor for recurrence of RVVC. RVVC is closely correlted with STD . Thus routine STD examinations should be done before RVVC diagnosis.