基层医院对妇女阴道分泌物检测的临床分析及意义探讨

Clinical Significance of Detection of Mould,Trichomonad and BV in Women Vaginal Secretions in Basic Level Hospitals

目的 探讨基层医院对妇女阴道分泌物霉菌、滴虫和BV检测的临床意义.方法 2014年1月至2014年6月来本院就诊的妇女,1342例进行阴道分泌物霉菌、滴虫和BV的检测,分析不同程度阴道清洁度（Ⅰ、Ⅱ、Ⅲ和Ⅳ）和年龄段（20～29、30～39、40～49、≥50）的霉菌、滴虫和BV检出率.结果 清洁度ⅣV的患者534例,滴虫检出352例,检出率为（检出例数占总患者的比率）26.23％;霉菌检出378例,检出率为28.17％;BV检出403例患者,检出率为30.03％;总检出患者284例,检出率为21.16％.不同程度清洁度的滴虫、霉菌、BV检出率以及总检出率之间的差异具有统计学意义（均P＜0.05）.20 ～29、30 ～39、40 ～49、≥50不同年龄段的滴虫、霉菌、BV检出率以及总检出率之间的差异具有统计学意义（P＜0.05）.结论 加强妇女的健康知识宣传,提高自我卫生习惯,降低阴道炎的发生率.

Objective To explore the clinical significance of detection of mould, trichomonad and BV in women＇s vaginal secretions in basic level hospitals. Methods Mould, trichomonad and BV in vaginal secretions were detected for 1342 cases of women in our hospital from January to June, 2014. The positive rates of mould, trichomonad and BV detection were analyzed for different degree levels of vaginal cleanliness （Ⅰ, Ⅱ, Ⅲ and IV） and different age groups（20-29, 30-39, 40-49, ≥50）. Results In 534 cases of cleanliness IV patients, 352 cases were trichomonad positive, the positive rate was 26.23% , 378 cases were mould positive, the positive rate was 28.17% , 403 patients were BV positive, the positive rate was 30.03% , 284 patients were positive of mould, trichomonad and BV, the positive rate was 21.16%. There were statistical significance among different degree levels of vaginal cleanliness for the positive rate of mould, trichomonad, and BV （P 〈 0.05 ）. Also there were statistical significance among different age groups（20-29, 30-39, 40-49, ~〉50）for the positive rate of mould, trichomonad, and BV（P 〈0.05）. Conclusion It is important to strengthen women＇s health knowledge propaganda, improve self health habits and reduce the incidence of vaginitis.