2284例阴道分泌物常规细菌性阴道病Set检验结果分析

Analysis of Vaginal Secretion of 2284 Cases of Bacterial Vaginitis Detected by Combination of Routine Examination and BV sets

目的了解女性生殖道病原体感染情况及细菌性阴道病（BV）与清洁度和年龄的相关性。方法对医院2284例疑似阴道炎患者阴道分泌物进行常规检测和BV三联法测定H2O2浓度、白细胞酯酶、唾液酸苷酶活性。结果 2284例中共检出仅BV阳性451例（19.7%）,滴虫感染85例（3.7%）,假丝酵母菌属感染389例（17.0%）,BV合并滴虫感染34例（1.5%）,BV合并假丝酵母菌属感染102例（4.5%）;患者清洁度Ⅰ~Ⅱ度的BV阳性173例,占14.4%,Ⅲ~Ⅳ度的414例,占38.2%,两者差异有统计学意义（P〈0.05）,且BV合并滴虫或假丝酵母菌属感染的136例均在Ⅲ~Ⅳ度间;BV患者的年龄段20~30岁为29.5%,30~40岁为32.8%,与〈20岁和〉50岁患者相比差异有统计学意义;同时假丝酵母菌属感染和滴虫感染同样处于此年龄段。结论 BV是阴道炎患者的主要病原感染原因,同时也是育龄妇女具有潜在危险的最常见的阴道感染疾病,对阴道炎患者进行白带常规检测同时进行BV Set检验,能更好地反映出患者阴道微生态状况,有利于早诊断早治疗早预防。

OBJECTIVE To explore the status of pathogenic infection of the vaginitis and the correlation of Bacterial Vaginitis（BV） with cleanness or age.METHODS A total of 2284 vaginal discharge samples from the patients with suspected vaginitis were performed by the routine examination,and trichomonas,Canadida mycoderma bacteria and cleanness were detected by using normal saline smear method and BV was detected by using BV sets.RESULTS Among 2284 cases,451 cases of only positive BV were detected（19.7%）,85 cases of trichomonas（3.7%）,389 cases of Candida mycoderma bacteria（17.0%）,34 cases of the concurrent infection of BV and trichomonas（1.5%） and 102 cases of the concurrent infection of BV and Canadida mycoderma bacteria（4.5%）;173 of patients′ cleanness betweenⅠandⅡ were the positive BV（14.4%）,and 414 of patients′ cleanness between Ⅲ and Ⅳ were the positive BV（38.2%） and 136 of 414 patients merged with trichomonas or Canadida mycoderma bacteria,and there was a significance（P0.05）;there was also a significance between the rate of the positive BV patients from 20-year-old to 30-year-old（29.5%） and that from 30-year-old to 40-year-old（32.8%） and that patients below 20-year-old or that patients above 50-year-old.CONCLUSION BV is the major pathogenic infectious reason for the patients with vaginitis,meanwhile it is also the most common BV with latent danger for the women in childbearing age,By using the vaginal discharge routine examination and the detection of BV sets simultaneously,the status of pathogenic infection can be better reflected in the patients with vaginitis and it is conducive for early prevention,early diagnosis and early treatment.