356例念珠菌性阴道炎复查结果与取样时间的关系

Relation between Reexamination result of 356 cases candidal vaginitis patients with sampling time

目的探讨念珠性阴道炎不同体征和症状的发生率,以及白带取样距离末次给药时间对念珠菌性阴道炎复查结果的影响。方法门诊念珠性阴道炎复查患者中,快速革兰氏染色,镜下找到念珠菌孢子和菌丝或单找到孢子都确认为阳性。结果356例患者中,23.04%无明显症状;复查阳性率随末次给药距离白带标本取样时间的延长逐步下降,<24h阳性率最高,为83.90%,72～96h后趋于稳定,各组间差异有显著性(P<0.05),<24h时假阴性率最高(35.50%),与其他各组差异明显(P<0.05)。结论念珠菌性阴道炎复查阳性率随末次给药距离白带标本取样时间的延长逐步下降。

[Objective] To approach the different characteristics of monilia sexual vaginitis, the occurrence of samples taken to the last medicine given to influence the reexamining result of monilia sexual vaginitis. [Methods] In the reexamining patients of the clinic monilia sexual vaginitis for rapid gram staim, monilia spore and hypha or single spore found under glasses were diagonised as positive. [Results] 23.04% of 356 patients didn＇t have obvious symptom. The reexamining positive rate of monilia sexual vaginitis dropped gradually. If it was less than 24 hours, the positive rate was the highest and arrives at 83.9%. It become stable after 72-96 h. The differences between groups were great （P 〈0.05）, false positive rate was the highest when it is less than 24 h, which reaches 35.5%, it had great differences compared to other groups （P 〈0.05）. [Conclusions] With the prolongation of the time from the last medicine given to the leucorrhorea samples taken ,the reexamining positive rate of monilia sexual vaginitis drops gradually , but it becomes stable when the medicine has been stopped giving for four hours.