1250例疑似细菌性阴道病患者阴道分泌物检测

Test on Vaginal Secretions from 1250 Women with Suspected Bacterial Vaginosis

目的探讨生化检测法在细菌性阴道病诊断中的价值。方法对妇科门诊1250例患者阴道分泌物进行常规及生化检测。结果在1250例疑似细菌性阴道病患者中,以"唾液酸苷酶阳性+过氧化氢阳性"为诊断标准,共检出细菌性阴道病患者921例,占总数的73.68%;Amsel法检出细菌性阴道病患者897例,占总数的71.76%。生化检测法与Amsel法检出细菌性阴道病阳性率的差异无统计学意义(χ2=0.76,P>0.05),二者的符合率为91.04%(1138/1250),具有很高的一致性。结论生化检测准确、快速,具有较高的临床应用价值。

Objective To investigate the value for diagnosis of bacterial vaginosis by using biochemical test method. Methods Vaginal secretions from 1250 women with suspected bacterial vaginosis were tested by using biochemical test and routine test. Results All 921 caes of 1250 women with suspected bacterial vaginosis were positive by using biochemical test, accounting for 73.68%, and 897 by using routine test, accounting for 71.76%. There was no statistical significance in diagnosing the positive rate of bacterial vaginosis betweem two methods （ x2=0.76, P 〉 0.05 ）. The coincidence rate of two methods was 91.04% （ 1138/1250 ）. Conclusion Biochemical test is rapid, accurate, and highly valuable in clinical application.