2066例妇女阴道微生态失调构成情况分析

Analysis on 2 066 Cases of Imbalance in Female Vaginal Micro-ecological Environment

目的:了解妇科门诊妇女阴道微生态平衡失调者白带异常检出率、构成比和年龄分布情况。方法:收集2009年11月—2010年1月在中南大学湘雅二医院妇科门诊就诊的有明显症状妇女的阴道分泌物,采用革兰染色及阴道pH试纸方法检测,同时以问卷方式采集受试者基本资料,并进行相应的统计学处理。结果:4 025例患者中有2 066例白带检测异常,总检出率为51.33%,其中外阴阴道假丝酵母菌病占28.99%,细菌性阴道病占8.57%,滴虫性阴道病为2.03%,混合性阴道炎为0.48%,未定义及未分类的阴道微生态失调为59.92%。阴道微生态失调妇女各年龄构成中<21岁组为2.4%,21～岁组为32.7%,31～岁组为38.2%,41～岁组为21.7%,>50岁组为5.0%。各种阴道微生态失调的中位数年龄中除混合性阴道炎位于21～30岁,其他均位于31～40岁。结论:阴道微生态平衡失调中外阴阴道假丝酵母菌病构成比明显高于细菌性阴道病、滴虫性阴道炎及混合性阴道炎。外阴阴道假丝酵母菌病、细菌性阴道病、滴虫性阴道炎及混合性阴道炎均好发于生育期年龄女性。除上述阴道炎症外,尚有大部分阴道微生态失调需要定义。

Objective：To investigate the gynecological clinic detection rate ,proportion and age distribution of vaginal microflora imbalance. Methods：Gram staining gynecological clinic patients with clinical symptoms of vaginal secretions, detection of vaginal pH. Results：Vaginal microbial disorder detection rate was 51.33%, vulvovaginal candidiasis accounted for 28.99%, bacterial vaginosis accounting for 8.57% ,trichomoniasis vaginosis was 2.03% ,mixed vaginitis was 0.48% ,unde- fined vaginal microbial imbalance was 59.92%. Vaginal microbial disorders in patients composition of each age group： 〈20 years old was 2.4%,21-30 age group was 32.7%,31-40 age group was 38.2%, 41-50 age group was 21.7%, 〉50 years old group was 5.0% ,all kinds of vaginal micro-ecological imbalance, the median age in addition to mixed vaginitis was in 21-30 years old, the other are in the 31-40 years of age. Conelusions：Vulvovaginal candidiasis were higher than bacterial vagi- nosis,trichomonas vaginitis and mixed vaginitis. Vulvovaginal candidiasis,bacterial vaginosis,trichomonas vaginitis and mixed vaginitis were predilection in reproductive age females. In addition to inflammation of the vagina, there are most of the vaginal microbial disorders need to define.