鹿寨县女性人群阴道分泌物检测结果分析

Analysis of vagina secreta examination result in certain region

目的了解鹿寨县女性人群阴道分泌物分布情况、阴道炎发病情况以及采取的相应预防措施。方法对1298例妇科门诊患者阴道分泌物采用CTB法做滴虫、念珠菌、纤毛菌、淋球菌、加特纳球杆菌检测,对其相关资料进行统计分析。结果 1298例女性检出病原体523例,阳性率占40.29%。其中念珠菌222例,占首位(17.10%);其次加特纳球杆菌202例,占15.56%;毛滴虫、纤毛菌、淋球菌阳性者分别为43例(3.31%)、56例(4.31%)、1例(0.07%);清洁度以Ⅲ、Ⅳ为主,病原菌阳性率分别为60.09%、77.42%;二重感染以念珠菌+加特纳球杆菌为主,占51.28%;不同年龄组阴道炎发生率分别为22.13%、71.23%、60.13%、35.29%,20～39岁组念珠菌性阴道炎和细菌性阴道炎发生率最高,与其他组比较差异有统计学意义(P<0.05)。结论该地区女性常见阴道炎为念珠菌性阴道炎、细菌性阴道炎和非特异性阴道炎,以青壮年、围绝经期及绝经期女性多见,应加强对其开展健康教育。

Objective To understand the distribution of pathogens in vagina secreta and incidence of vaginitis in women of certain region.Methods 1 298 cases vaginal secretion samples of gynecologic outpatient were detected by CTB method for Trichomonas,Candida,Leptotrichia,Neisseria gonorrhoeae and Gartner coccobacillus.Related data were statistically analyzed.Results In 1 298 cases of patients,the positive rate of pathogens was 40.29%（523/1 298）,including 222 cases（17.10%） for Candida,followed by 202 cases（15.56%） for Gartner coccobacillus,and 43 cases（3.31%）,56 cases（4.31%）,case（0.07%） for Trichomonas,Leptotrichia and Neisseria gonorrhoeae.Cleanliness was mainly II and IV,with pathogenic bacteria positive rates for 60.09% and 77.42%.Double infection was mainly Candida albicans＋Gartner coccobacillus,accounting for 51.28%.In different age groups,the incidence of vaginitis were respectively 22.13%,71.23%,60.13% and 35.29%.Incidence of Candidal vaginitis and bacterial vaginosis was at the highest level in 20-39 years old group（P0.05）.Conclusion The common kinds of vaginitis might be monilial vaginitis,bacterial vaginosis and nonspecific vaginitis in this region,mainly in young adults,women at perimenopausal period and menopausal,to whom the health education should be strengthened.