600例妇科门诊患者阴道分泌物微生态分析

Vaginal secretion from 600 cases of outpatients of gynecology department:a micro-ecology analysis

目的探讨妇科门诊患者阴道分泌物的微生态状况。方法随机选择门诊就诊患者600例,通过革兰染色镜检,分析阴道分泌物的病原体感染情况。结果在600例患者中有293例镜检阳性,阳性率为48.8%;在293病例中,滴虫感染12例,占4.1%,假丝酵母菌属105例,占35.8%,厌氧菌感染111例,占37.9%;假丝酵母菌属和厌氧菌混合感染16例,占5.5%,滴虫和厌氧菌混合感染7例,占2.4%,单纯白细胞增多42例,占14.3%。结论厌氧菌、假丝酵母菌属感染,是妇科门诊阴道炎症的主要病因,滴虫感染已明显减少;采用革兰染色能够很好地评价阴道分泌物的微生态状态,值得推广。

OBJECTIVE To explore the micro-ecology of vaginal secretion from the patients in department of gynecology. METHODS Gram staining was performed for a total of 600 cases of outpatients randomly selected. The vaginal secretion was analyzed for infection with pathogen. RESULTS Among the 600 patients, 293 cases were positive for microscopy. Positive rate was 48.8 %. Among the 293 cases, there were 12 cases of trichomona infection, accounting for 4. 1%, 105 cases of candida infection, accounting for 35. 8%, 111 cases of anaerobic bacteria infection, accounting for 37.9 %, 16 cases of candida and anaerobic bacteria mixed infection, accounting for 5.5%, and 7 cases of trichomonad and anaerobic bacteria mixed infection, accounting for 2.4 %. There were 42 cases of simple WBC increase, accounting for 14.3 %. CONCLUSION Candida and anaerobic bacteria infections are the main causes of vaginal inflammation in outpatient department of gynecology. Trichomona infection has been significantly reduced; gram staining can be a good tool to evaluate micro-ecology of vaginal secretion, which is worthy of being promoted.