西双版纳州傣族健康妇女阴道微生态分析的研究

Vaginal microecology of healthy Dai women in Xishuangbanna

目的了解西双版纳州农村傣族妇女阴道微生态状况并分析相关影响因素,为临床预防和控制妇女阴道菌群失衡提供依据。方法选取西双版纳傣族自治州大勐龙镇4个自然村的202名已婚傣族妇女作为研究对象,将同期体检的200名景洪市女职工作对照。常规妇检采集阴道侧穹窿上1/3分泌物,进行阴道微生态检测及相关因素分析。结果 202名傣族农村妇女阴道微生态正常者36例,占17.82%,阴道微生态失调166例,占82.18%;200名景洪市体检妇女微生态正常者106例,占53.00%,阴道微生态失调94例,占47.00%,经比较差异有统计学意义(P<0.05)。结论农村妇女阴道微生态状况较城市人群差,应加强对农村妇女的健康知识的普及,改善生殖健康。

Objective To explore the vaginal microecological environment of rural Dai women in Xishuangbanna,analyze the related factors,and provide evidence for clinical prevention and control of women＇s vaginal flora imbalance. Methods 202 married women were selected as the subjects from 4 villages of Damenglong Town in Xishuangbanna Dai Autonomous Prefecture,with 200 healthy city women from Jinghong as the controls. Vaginal secretion specimens were collected for microecological detection and relevant factor analysis. Results Among the 202 Dai rural women, there were 36（ 17. 82%） cases of normal vaginal microecological environment and 166（ 82. 18%） cases of vaginal microecological imbalance,while among the 200 healthy city women,106 cases（ 53. 00%） of normal microecological environment and 94 cases（ 47. 00%） of vaginal microecological imbalance were observed. The difference was statistically significant（ P〈 0. 05）. Conclusion Rural women＇s vaginal microecological environment is relatively poor than that of urban women. Rural women＇ s health awareness should be raised to improve the reproductive health.