河北省卢龙县医院2005—2006年妇科门诊病人阴道毛滴虫感染情况

Prevalence of Trichomonas among Outpatients in Department of Gynecology in Lulong County Hospital in Hebei Province during 2005—2006

目的了解医院就诊妇科病人阴道毛滴虫感染情况,为科学防治提供依据。方法采用生理盐水直接涂片法检查卢龙县医院2005—2008年妇科门诊7376例就诊病人的阴道分泌物,了解阴道毛滴虫感染情况,对检查结果进行分析。结果4年阴道毛滴虫平均感染率8.45%(623/7376);每年感染率无明显差异,但逐年递减;4年中35岁～年龄组感染率为11.78%(1491/1265),明显高于其他年龄组;40岁～感染率次之为11.49%(131/1140);但2007年35岁～年龄组感染率为11.40%(39/342),略低于40岁～年龄组感染率11.80(36/305);20岁以下年龄组感染率最低,为0.90%(2/221)。季节感染率无明显差异,11月、12月、1月份感染率高于其他月份,分别为9.15%、8.94%、9.88%。农村居民感染率(8.23%),明显高于城镇(1.17%)。结论被调查病人阴道毛滴虫感染率高于全球女性感染率(3.1%),低于国内以往同类调查水平;35～45岁为阴道毛滴虫感染高发期;季节对阴道毛滴虫感染无明显影响。

[Objective]To understand the prevalence of trichomonas among outpatients in department of gynecology,and provide evidence for scientific prevention and treatment.[Methods]Direct smear examination with saline was adopted to examine vaginal secretions of 7376 gynecology outpatients in Lulong County Hospital from 2005 to 2008.The situation of trichomonas vaginalis infection was studied and the results were analyzed.[Results]The average infection rate of trichomonas vaginalis for 4 years was 8.45%（623/7376）;there was no significant difference of infection rate between years,but diminishing annually;infection rate of 35～39 years age group was 11.78%（149/1265） which was significantly higher than that of other age group;followed by 40～44 years age group of 11.49% （131/1140）;but in 2007,infection rate of 35～39 years age group was 11.40%（39/342） which was slightly lower than that of 40～44 years age group（11.80 %（36/305））;the group less than 20 years old had the lowest prevalence which was 090%（2/221）;no significant difference existed between seasons in infection rates,but in November,December,January infection rate was higher than that of other months,which was 9.15%,8.94%,9.88%,respectively;the infection rate of rural population （8.23%） was significantly higher than that of urban population （1.17%）.[Conclusion]The prevalence of trichomonas vaginalis among investigated patients is higher than that of global women（3.1%）,but lower than that of domestic similar survey previously;people aged 35～45 years old was the high risk population for trichomonas vaginalis;seasonal impact on trichomonas vaginalis infection is not significant.