云南沧源县佤族妇女阴道微生态环境与年龄关系的分析

The association between vaginal microecological status and age among women of Wa ethnic minority in Cangyuan,Yunnan

目的分析云南沧源县8个乡镇不同年龄佤族妇女阴道微生态环境的变化规律。方法用革兰染色法、生化五联法检测以及阴道pH试纸联合对763例佤族妇女的阴道分泌物状态检测。结果 763例受检妇女阴道分泌物中微生态异常比率为50.72%,微生态异常集中在31-50岁妇女中,在31-40岁中最高,假丝酵母菌阴道炎、滴虫性阴道病集中在31-50岁妇女中,而细菌性阴道炎集中在40岁以下妇女,需氧菌性阴道炎高发于31-40岁组中,差异有统计学意义。结论沧源县8个乡镇佤族妇女的阴道微生态失调基本与年龄分布一致,呈正态分布,育龄妇女（尤其是31-40岁）为阴道炎好发年龄组。

Objective To analyze the vaginal microecological status of Wa ethnic women at different ages from eight villages and towns of Cangyuan county in Yunnan province.Methods Gram staining,biochemical detection and vaginal pH strips were used to detect the specimens of vaginal discharge of 763 healthy Wa ethnic women.Results The women with abnormal vaginal microecological status accounted for 50.72%,which was more often seen was women at ages 31 to 50years old,highest in the group of 31 to 40years old.Vulvovaginal candidiasis and trichomonas vaginitis were most often seen in women aged 31 to 50years,while bacterial vaginosis in women under 40 years old.Aerobic vaginitis showed a high incidence in women aged 31 to 40years.The differences were significant.Conclusion The vaginal microecological status of Wa ethnic women in the eight villages and towns of Cangyuan county presented a normal distribution with women of childbearing age（especially age group of 31 to 40years）being the high risk population.