多种病原体交叉感染所致阴道炎病因分析及临床意义

Clinical analysis causes of vaginitis due to cross infections

目的探讨阴道炎多种病原体交叉感染的原因,了解各病之间交叉感染的程度及临床意义。方法以盐水涂片法直接镜检念珠菌和阴道滴虫,以唾液酸酶法检测细菌性阴道病(BV)。结果在被检人群中BV、念珠菌、滴虫阳性率分别为29．33%(220/750)、9．73%(73/750)、2．0%(15/750)。BV交叉感染念珠菌及滴虫阳性率分别为7．27%(16/220)、5．91%(13/220)。在念珠茵性和滴虫性阴道炎中,BV阳性率分别为21．92%(16/73)、86．67%(13/15)。结论在妇科感染性疾病中,BV阳性率最高,并且和念珠菌、滴虫相互交叉感染现象非常严重。所以对白带检查时,最好同时进行多种病原体测定,对临床诊断治疗具有重大意义。

Objective To explore the causes of cross infection by several kinds of pathogens in vaginitis patients and its signifi- cance. Methods Candida and vaginal Trichomonad were detected with microscope directly on Nacl - solution smears. Bacterial vaginosis （BV） was detected with the sialidase determination. Results The positive rate of BV, vaginal candidiasis and triehomonas vaginitis were 29.33% （220/750）,9.73% （73/750） and 2.0%（15/750）, respectively. The cross infection rates of candida and vaginal tfichomonsd in BV patients were respectively 7.27 % （16/220） and 5.91% （13/220）. The positive rate of BV among the vaginal candidiasis and Trichomonad vaginitis patients were 21.92%（16/73）and 86.67%（13/15） ,respectively. Conclusion Cross infection were serious in gynaccologic infections and multiple pathogens detection is of important significance for clinical diagnosis and treatment.