妇科门诊阴道炎病原体分布及其影响因素分析

Pathogens distribution analysis of vaginitis in outpatient gynecological clinic and it’s influence factors

目的探讨妇科门诊阴道炎病原体分布及其影响因素。方法对2010年3月～2012年12月在我院妇科门诊就诊的患者257例进行阴道分泌物检查．并分析相关影响因素。结果病原菌检测结果显示，阴道细菌检出率最高，清洁度I～Ⅱ级明显低于Ⅲ、Ⅳ级；20～49岁组及〈20岁组总的阴道炎、外阴阴道假丝酵母菌病和细菌性阴道病的检出率明显高于≥50岁组（P〈0．05）。在四季中，检出率最高的是外阴阴道假丝酵母菌病（秋冬季检出率明显高于春夏季），而最低的是滴虫阴道炎。结论妇科门诊患者的阴道感染病菌较重，与季节及年龄等因素有关。

Objective To explore the pathogens distribution of vaginitis in outpatient gynecological clinic and it＇s influence factors. Methods A total of 257 cases in outpatient gynecological clinic of our hospital from March 2010 to December 2012 were inspected with vaginal secretion, and correlative influence factors were analyzed. Results The pathogen test results showed that vaginal bacteria had the highest detection rate, the cleanliness of the I - II were significantly lower than that of Ill and 1V ;The detection rate of total vaginitis,vulvovaginal candidiasis and bacterial vaginosis in 20-49 age group and 〈20 age group were significantly higher than those in I〉50 age group （P 〈 0.05）. The detection rate of vulvovaginal candidiasis was the highest in the four seasons（autumn and winter were significantly higher than spring and summer） ,while the detection rate of trichomonas vaginitis was the lowest. The detection rate of vulvovaginal candidiasis in. Conclusion Vaginal infection pathogens of patients in outpatient gynecological clinic is more serious, and it is associated with the season and age factors.