女性细菌性阴道病感染情况调查

Investigation of Women with Bacterial Vaginosis

目的：调查女性各年龄段和行人工流产、上取环、宫腔镜、宫颈、阴道等门诊手术妇女细菌性阴道病（BV）的发病情况,并探讨其与普通妇科门诊发病的关系。方法：采用BV速蓝实验室诊断方法对调查对象的白带标本进行分析,并对结果做了不同年龄段和月份对比。结果：〈20和〉40岁女性BV发病率明显高于20~30、30~40岁组（P〈0.01）;8776例妇科门诊手术患者受检标本阳性率为14.77%;9 762例普通妇科患者阳性率为16.25%,差异显著（P〈0.01）;BV感染有两个高峰期分别是4~5、9~10月间。结论：妇科门诊手术患者BV阳性率虽低于妇科患者,但仍有较高的感染率,应加强对手术妇女和〈20岁、〉40岁女性BV感染的筛查和治疗,尤其是春秋两季,对预防由手术引起的附件和盆腔感染,降低输卵管不孕的发生率,保护女性生殖健康具有重要意义。

Objective：To investigate women of all ages and induced abortion,the IUD,hysteroscopy,cervical,vaginal and other outpatient surgery,women with bacterial vaginosis（BV） and to explore its incidence and pathogenesis of common gynecological clinic.Methods：BV-speed blue-laboratory diagnosis of vaginal specimens on the survey was analyzed,and the results were made comparison of different age and month.Results：20 and 40 year-old female incidence of bacterial vaginosis was significantly higher than 20-30,30-40 age group（P0.01）;8 776 cases of gynecologic outpatient surgery specimens positive subjects was 14.77%;9 762 cases of patients with gynecologic positive rate was 16.25%,was significantly different（P0.01）;Two peaks of BV infection were 4-5,9-10 of the month.Conclusion：The gynecologic outpatient surgery BV positive rate is still high although lower than the prevalence of gynecological patients,surgery should be strengthened in women and 20 years old, 40-year-old female BV infection screening and treatment,especially in spring and autumn,caused by the surgical prevention of attachments and pelvic infections,reduce the incidence of tubal infertility to protect women＇s reproductive health is important.