阴道分泌物的检测与感染结果分析

Clinical examination and infection analysis of vaginal secretions

目的检测女性阴道分泌物感染情况,为临床预防和治疗阴道感染提供依据。方法分析2015年1-6月于医院妇科进行检查的3 000名女性资料,对所有女性阴道分泌物进行检测,统计其阴道清洁度、阴道感染率及感染病原体类型,采用SPSS 11.0统计软件对数据进行处理。结果阴道清洁度检查结果显示,Ⅲ度1 301人占43.36%,Ⅳ度1 242人占41.40%,Ⅱ度300人占10.00%,Ⅰ度157人占5.23%,其中Ⅲ~Ⅳ度女性所占比例较大;对女性阴道分泌物进行检查后,2 386例发生阴道感染,感染率为79.53%,其中感染真菌814例占34.12%,细菌543例占22.76%,滴虫414例占17.35%,淋菌156例占6.54%,混合感染459例,占19.24%;对发生阴道感染的2 386例患者年龄段进行统计,结果显示,30~40岁患者阴道感染率显著高于40~50岁和〉50岁患者,比较差异有统计学意义（P〈0.05）。结论 30~40岁患者是阴道感染多发人群,对阴道分泌物进行检测,有利于分析患者阴道感染及感染病原体类型,进而采取有效治疗方案,有临床指导意义。

OBJECTIVE To detect female gynecological vaginal infection so as to provide evidence for clinical prevention and treatment of vaginal infections.METHODS Clinical data of 3000 females who underwent gynecological examination from Jan.to Jun.2015 were analyzed.Clinical examinations were conducted on all vaginal secretions from the patients.Degree of vaginal cleanness,vaginal infection rate and pathogenic species were summarized and data were processed by statistical software SPSS 11.0.RESULTS The analysis of vaginal cleanness results showedⅢ degree in 301 cases accounting for 43.36%,Ⅳ degree in 1242 cases accounting for 41.40%,Ⅱ degree in 300 cases accounting for 10.00% andⅠ degree in 157 cases accounting for 5.23%,indicating that women withⅢ-Ⅳdegrees of cleanness took the largest proportion.The examination of female vaginal secretion showed 2386 cases of vaginal infections accounting for 79.53%,including 814 cases of fungal infection accounting for 34.12%,543 cases of bacterial infection accounting for 22.76%,414 cases of trichomoniasis accounting for 17.35%,156 cases of gonococcal vaginitis accounting for 6.54%,459 cases of mixed infection accounting for 19.24%.Statistics by age showed that proportion of vaginal infection in the group aged 20-30 years was significantly higher than in groups aged 40-50 years and over 50years（P〈0.05）.CONCLUSIONThe 30-40-year old women are the vaginal infectionprone crowd.Examination of female vaginal secretions facilitates analysis of vaginal infection and pathogen types and has clinical significance for guidance of further effective treatment.