16057例中国北京地区健康妇女阴道菌群的结果分析

The evaluation of vaginal flora in 16,057 healthy women of Beijing

目的初步了解中国健康女性阴道菌群的情况。方法选取中国北京地区健康体检妇女16 057例,采集阴道分泌物,进行显微镜检。结果 (1)菌群正常者占75.7%。菌群密集度范围多在++^+++,占99.2%;菌群多样性多在+^++,占81.2%;优势菌均为革兰阳性大杆菌,占100.0%。(2)在健康妇女中仍存在24.3%异常菌群,依次为菌群失调、菌群增殖过度和菌群抑制。结论健康女性阴道菌群表现为多样性,阴道微生态评价有助于筛查无症状的阴道微生态失衡女性,并对临床评价阴道感染时的阴道微生态状况有一定的指导作用。

Objective To learn the microecological status of vaginal flora in Chinese healthy women.Methods 16,057 women were included and their vaginal secretion samples were collected and detected with Gram stained smear.Results 75.7% of these women had normal vaginal microflora.99.2% of the women had an intensity of microflora of＋＋to＋＋＋.81.2% of them had a diversity of microflora of＋ to＋＋.Lactobacilli were the predominant bacteria in all women.24.3% of these women had abnormal vaginal microflora（vaginal dysbacteriosis,over proliferation,or inhibition of microflora）.Conclusion Vaginal flora present a diversity in healthy women.Evaluation of vaginal microecosystem can help screen women with asymptomatic imbalance of vaginal microecosystem,and guide the doctors to evaluate the microecological status of women with vaginal infection.