2108例育龄妇女细菌性阴道病相关因素分析

Analysis on related factors of bacterial vaginosis in 2 108 fertile age women

目的分析育龄妇女细菌性阴道病的阴道分泌物检测结果及相关因素。方法选择2010年1月至2012年1月来郑州市第三人民医院就诊的2108例育龄妇女,采用唾液酸酶法检测细菌性阴道病(bacterial vaginosis,BV)的阴道分泌物,回顾性分析其检测结果。结果本组共654例BV检测阳性,阳性率为31.02%,其中20～30岁患者BV阳性率明显高于其他年龄段,4～6月和7～9月BV阳性率明显高于其他月份,文化程度越高,BV阳性率越低,BV阳性患者伴发的霉菌和滴虫感染率明显高于BV阴性患者,差异均有统计学意义(P<0.05)。结论 BV的发生与季节、年龄以及文化程度密切相关,注意性生活以及卫生习惯,同时加强保健知识的宣传,对于降低BV的感染率具有积极的作用。

Objective To analyze results of vaginal secretions and correlation factors of the bacterial vaginosis （BV） in fertile age women with BV. Methods The data of results about vaginal secretions detection by the method of sialidase were retrospectively analyzed in 2 108 fertile age woman cases from January 2010 to January 2012. Results About 654 cases were positive in BV test, and the positive rate was 31.02%. Among the positive patients, 20 - 30 years old patients was much higher than that in other ages. Between April to June and July to September, the positive rate in BV testing was obviously higher than that in the other month. The higher level of education, the lower the rate of BV positive did. The mold and trichomonas infection rate in BV positive patients was obviously higher than those in BV negative patients. The difference of those were significant （ P 〈 0. 05 ）. Conclusion BV occurrence is closely related to season, age and educational level. Pay attention to sex and hygiene, and at the same time, strengthen the propaganda of knowledge about health care, which play an active role in reducing bacterial vaginosis infection.