妊娠期外阴阴道假丝酵母菌病显性致病因素探析

Investigcttion of dominant pathogenic factors of gestational vulvovaginal candidiasis

目的:探讨妊娠期外阴阴道假丝酵母菌病(vulvovaginal candidiasis,VVC)发病的显性致病因素。方法:随机选取建档并规律产检、分娩的孕妇679例,对其进行调查问卷、阴道分泌物常规检查以及妊娠结局的随访,根据是否感染VVC分为VVC组和非VVC组,在VVC组中按是否接受治疗,分为治疗组和未治疗组。通过VVC组和非VVC组的比较了解VVC的显性致病因素。结果:孕妇的卫生习惯不良、妊娠期间同房、孕前曾患VVC是妊娠期VVC的显性致病因素。结论:加强卫生习惯的宣教、妊娠期间的性生活指导、孕前进行相关检查,会预防和减少妊娠期VVC的发生。

Objective To investigate the risk factors of vulvovaginal candidiasis （VVC） during pregnany. Method A total of 679 preg- nant women were enrolled in the study. All the cases underwent questionnaire survey,routine vaginal secretion examination and detection of Candida mycoderma. The pregnancy outcomes were followed up. These cases were divided into 2 groups ： VVC and non - VVC group. In VVC group, the cases were divided into treatment and untreatment sub -groups. Results The gravida＇s bad health habits, sexual life and history of VVC were closely related to the gestational VVC. Conclusion Gestational VVC could result in the adverse pregnancy out- comes. Education and strengthening of good hygiene habits, guidance of sexual,and antenatal examination, could prevent and reduce gesta- tional VVC.