无锡地区妇女细菌性阴道病与假丝酵母菌属及滴虫性阴道炎感染分析

Infection status of bacterial vaginosis,Candida vaginitis and trichomonal vaginitis among women in Wuxi

目的了解无锡地区育龄妇女细菌性阴道病、假丝酵母菌性阴道炎及滴虫性阴道炎感染状况。方法对无锡地区妇科门诊2142例、体检中心1885例、住院患者218例育龄妇女采集阴道后穹隆部位的分泌物,用细菌性阴道病联合测定试剂盒检测,同时进行阴道分泌物涂片镜检假丝酵母菌属、滴虫。结果妇科门诊患者单独细菌性阴道病、假丝酵母菌性阴道炎、滴虫性阴道炎发病率分别为19.44%、16.43%和7.19%;体检中心患者发病率分别为8.17%、6.47%和1.91%;住院患者发病率分别为2.75%、1.83%和1.38%;妇科门诊与体检中心、妇科门诊与住院患者的单独细菌性阴道病、假丝酵母菌性阴道炎和滴虫性阴道炎发病率差异有统计学意义(P<0.01),发现细菌性阴道病阳性检出率高于假丝酵母菌性阴道炎和滴虫性阴道炎,且细菌性阴道病阳性检出率高于假丝酵母菌性阴道炎和滴虫性阴道炎;但细菌性阴道病的混合感染以及体检中心与住院患者单独细菌性阴道病、假丝酵母菌性阴道炎、滴虫性阴道炎发病率差异无统计学意义。结论妇科门诊应将细菌性阴道病、假丝酵母菌属、滴虫列入阴道分泌物常规筛查。

OBJECTIVE To learn the infection status of bacterical vaginosis, Candida vaginitis and trichomonal vaginitis among women of childbearing age in Wuxi. METHODS The bacterial vaginosis was detected by bacterial vaginosis combination determination kit to vagina fornices secretion, the Candida and trichomonad were detected by microscopic examination to vagina secretion among three kinds of patients in the gynecology clinic （2142 cases）, medical examination center （1885 cases）, and hospitalized patients （218 cases） in Wuxi area. RESULTS The positive rates of the bacterial vaginosis, Candida vaginitis and trichomonal were respectively 19.44%, 16. 43%, and 7.19% in gynecology clinic patients. The positive rates were respectively 8. 17%, 6. 47%, and 1.91% in medical examination center patients, and the the positive rates were 2.75%, 1.83%, and 1.38% in hospitalized patients. The difference in the incidence rate of the bacterial vaginosis, Candida vaginitis and trichomonal vaginitis among the patients in the gynecology clinic and medical examination center and the hospitalized patients was statistically significant （P〈0.01）. The positive detection rate of bacterial vaginosis was higher than that of the Candida vaginitis and trichomonal vaginitis. The difference between the incidence of bacterial vaginosis with mixed infections in gynecology clinic and the incidence of single bacterial vaginosis, Candida vaginitis and trichomonal vaginitis in the patients of mechanical examination center and the hospitalized patients was not statistically significant. CONCLUSION It is necessary for the gynecology clinic to screen out the bacterial vaginosis, Candida and trichomonad from the vaginal secretions.