育龄妇女和孕妇阴道微生态环境的比较研究

Comparison and investigation on vaginal microenvironment between women of childbearing age and pregnant women

目的:对比育龄妇女和孕妇阴道内微生态状况。方法:分别取800例育龄妇女和孕妇的阴道分泌物标本,涂片后用革兰染色,显微镜下计数后进行Nugent评分分析。结果:育龄妇女和孕妇假丝酵母菌感染的阳性率分别为20.4%和8.9%,滴虫感染的阳性率分别为4.6%和1.1%,细菌性阴道病(BV)阳性率分别为33.9%和8.8%,乳酸杆菌的含量分别为63.6%和84.5%,两组之间差异均有统计学意义(P<0.05)。结论:相较于育龄妇女,孕妇的阴道微生态状况更健康,对假丝酵母菌、滴虫和细菌性阴道病等常规疾病感染的抵抗力更强。

Objective：To compare the vaginal microenvironment conditions between women of childbearing age and pregnant women. Methods：The samples of vaginal secretions were obtained from 800 women of childbearing age and 800 pregnant women,Gram staining was conducted;Nugent score was carried out after counting under microscope. Results：The positive rates of candida infection among women of childbearing age and pregnant women were 20.4% and 8.9%,respectively;the positive rates of trichomonas infection among women of childbearing age and pregnant women were 4.6% and 1.1%,respectively;the positive rates of bacterial vaginosis among women of childbearing age and pregnant women were 33.9% and 8.8%,respectively;the contents of lactobacillus among women of childbearing age and pregnant women were 63.6% and 84.5%,respectively,there was significant difference between the two groups（P0.05）. Conclusion：Compared with the women of childbearing age,the pregnant women have a more healthy vaginal microenvironment and have a higher resistance to candida yeast,trichomoniasis,bacterial vaginosis and other more conventional diseases.