妊娠期阴道微生态状况的分析

Analysis of vaginal microflora status during gestation period

目的 总结分析妊娠期女性阴道微生态状况.方法 选择2012年6月～2013年6月在本院门诊进行产前检查的120例妇女（观察组）以及120例非妊娠期正常体检妇女（对照组）为研究对象,分别采集阴道分泌物标本,通过革兰氏染色法和pH试纸检测阴道微生态状况.结果 观察组妇女阴道微生态的失衡率（49.17％）明显高于对照组（25.00％）（P＜0.05）;观察组59例妊娠期白带检测异常妇女中外阴阴道假丝酵母菌病（VVC）占25.83％（31/120）,细菌性阴道病（BV）占13.33％（16/120）,滴虫性阴道炎（TV）占5.00％ （6/120）,混合性阴道炎占5.00％（6/120）,其中VVC发的生率明显高于BV、TV及混合性阴道炎的发生率（P＜0.05）.结论 妊娠期妇女阴道微生态失衡率高于非妊娠期,且VVC的患病率明显高于BV、TV、混合性阴道炎的患病率.

Objective To summarize and analyze the vaginal microflora status of women during gestation period. Methods 120 cases of antenatal women（study group） and 120 cases of non-pregnant women in outpatient of our hospital from June 2012 to June 2013 were selected as research objects,the vaginal discharge specimens of all the research objects were collected,and the vaginal microflora status were detected by Gram staining and evaluation of pH paper. Results The imbalance rate of vaginal microflora status of the observation group（49.17%） was significantly higher than that of the control group（25.00%）（P〈0.05）.Among the 59 cases of patients with abnormal leucorrhea during pregnancy, the rate of vulvovaginal candidiasis （VVC） accounted for 25.83%,the rate of bacterial vaginosis （BV） accounted for 13.33%,the rate of trichomonas vaginitis （TV） accounted for 5.00% and the mixed vaginitis accounted for 5.00%.The incidence of VVC was significantly higher than that of BV,TV and mixed vaginitis（P〈0.05）. Conclusion The imbalance rate of vaginal microflora in pregnant women is higher than that of non-pregnant,and the prevalence of VVC was significantly higher than that of BV,TV and mixed vaginitis.