海岛地区孕妇阴道炎情况分析

Analysis of incidence of vaginitis in pregnant women in island area

目的探讨海岛地区孕妇各种阴道炎的发病率及其影响因素。方法选择在舟山医院孕检的妇女3554例为观察对象,年龄17~45岁,采用镜检联合需氧菌阴道炎/细菌性阴道病联合测定技术检测需氧菌阴道炎（AV）、细菌性阴道病（BV）、外阴阴道假丝酵母菌病（VVC）、滴虫性阴道炎（TV）。分析当地月份、孕期、年龄对各种阴道炎发病率的影响。结果孕妇阴道炎年发病率为44.3%,AV年发病率为27.7%,高发月份8月（40.7%）;VVC发病率6.5%,高发月份6月（9.6%）;BV发病率9%,高发月份4月（16.0%）;TV发病率1%,高发月份10月（2.4%）。不同孕期AV、BV、TV各自的发病率无明显异常,而VVC检出率有显著性差异（χ2=8.99,P〈0.05）。孕妇不同年龄段BV发病率有显著性差异（χ2=87.78,P〈0.01）,随着年龄增加而增加。结论海岛地区孕妇4种阴道炎发病率一年中变化较大,而不同孕期、不同年龄分别只对VVC和BV的发病率影响较大。

Objective To discuss the incidence of all kinds of vaginitis of pregnant women and the influencing factors in island area.Methods Observed subjects were 3 554 women taking prenatal examination care in Zhoushan Hospital,and their age ranged from 17 to 45 years. Aerobic vaginitis（ AV）,bacterial vaginosis（ BV）,vulvovaginal candidasis（ VVC） and trichomonas vaginitis（ TV） were detected by microscopic method and AV / BV combined determination technology. The effect of local season,pregnancy period and age on incidences of all kinds of vaginitis was analyzed. Results The annual incidence of vaginitis of pregnant women was 44. 3% and that of AV was 27. 7%with highest incidence month in August（ 40. 7%）. Incidence of VVC was 6. 5%,and the highest incidence was in June（ 9. 6%）.Incidence of BV was 9%,and the highest incidence was in April（ 16. 0%）. Incidence of TV was 1 %,and the highest incidence was in October（ 2. 4%）. During different pregnant weeks incidence of AV,BV and TV had no obvious difference,but that of VVC was significantly different（ χ2= 8. 99,P〈0. 05）. Incidence of BV in pregnant women was significantly different at different ages（ χ2= 87. 78,P 〈0. 01）,and it increased with age increasing. Conclusion Incidences of 4 kinds of vaginitis among pregnant women in island area change greatly within a year,but pregnancy period and age only have great influence on incidences of VVC and BV.