某区土家族已婚妇女阴道念珠菌和滴虫感染状况及影响因素研究

Study on Infection Situation and Influential Factors of Vaginal candidia and Trichomonas among Married Women of Tujia natianality in some district

目的:了解张家界市武陵源区土家族已婚妇女阴道念珠菌和滴虫感染状况及相关危险因素,为制定干预措施提供科学依据方法:采用现况调查的方法对武陵源区土家族已婚妇女进行问卷调查、妇科检查和实验室检查,并采用SPSS17.0进行统计分析,统计方法采用检验和logistic回归分析。结果:2562例研究对象中共检出阴道念珠菌感染者235例,感染率为9.17%。阴道滴虫感染者186例,感染率为7.23%。单因素卡方检验结果显示,不同年龄(X2=32.868,P<0.05)、文化程度(X2=18.338,P<0.05)、结婚年龄(X2=7.759,P<0.05)、结婚年限(X2=34.297,P<0.05)、产次(X2=11.262,P<0.05)和避孕方式(X2=21.313,P<0.05)的妇女阴道念珠菌感染率差异有统计学意义。不同年龄(X2=32.375,P<0.05)、文化程度(X2=11.200,P<0.05)、结婚年龄(X2=11.134,P<0.05)、结婚年限(X2=20.754,P<0.05)、孕次(X2=27.595,P<0.05)、产次(X2=30.933,P<0.05)和避孕方式(X2=20.504,P<0.05)的妇女阴道滴虫感染率差异均有统计学意义。多因素分析显示,对于念珠菌性阴道炎,高年龄是其保护因素(OR=0.704,OR95%CI:0.598,0.828),文化程度低(OR=1.360,OR95%CI:0.999,1.852)孕次多(OR=1.323,OR95%CI=:1.083,1.616)是其危险因素;而对滴虫性阴道炎,结婚婚龄大是保护因素(OR=0.656,OR95%CI:0.458,0.938),孕次(OR=1.538,OR95%CI:1.164,2.031)和产次多(OR=1.423,OR95%CI:1.097,1.847)是其危险因素。结论:武陵源区土家族已婚妇女阴道念珠菌和滴虫感染率菌较高,其发生与年龄、孕产次等因素相关,应针对危险因素采取综合措施控制其发生。

Objective To learn the infection Situation and influential factors of Vaginal candidia and Trichomonas among married women of Tujia nationality in Wulingyuan district,and to provide scientific basis for the prevention and cure of these infection.Methods Cross-sectional study was used to collect the data,and their vaginal secretions were detected by smear method,making use of the SPSS 17.0 software to analyze the data and the statistical methods were the test and the Logistic Regression.Results 235 out of 2562 married women were detected Vaginal candidiasis with a total prevalence rate of 9.17%,and 186 married women were detected Trichomonas vaginalis with a total prevalence rate of 7.23%.Univariate analysis results showed that Vaginal candidiasis presented statistically significant associations with age(X 2 =32.868,P<0.05),education(X 2 =18.338,P< 0.05),age of marriage(X 2 =7.759,P<0.05),length of marriage(X 2 =34.297,P<0.05),parity(X 2 =11.262,P<0.05) and contraceptive methods(X 2 =21.313,P <0.05).And the statistic difference of the detection rate for Trichomonas vaginalis lain in the different age(X 2 =32.375,P<0.05),education(X 2 =11.200,P<0.05),age of marriage(X 2 =11.134, P<0.05),length of marriage(X 2 =20.754,P<0.05),pregnancies(X 2 =27.595,P<0.05),parity(X 2 =30.933,P<0.05),and contraceptive methods(X 2 =20.504,P <0.05) The logistic regression showed that the main influential factors for Vaginal candidiasis were age(OR=0.704,OR95%CI:0.598,0.828),education(OR=1.360,OR95%CI:0.999,1.852) and pregnancies(OR=1.323,OR95%CI:1.083,1.616).And the main influential factors for Trichomonas vaginalis were age of marriage(OR =0.656,OR95% CI:0.458,0.938),parity(OR =1.423,OR95% CI:1.097,1.847) and pregnancies(OR=1.538,OR95%CI:1.164,2.031).Conclusion High prevalence rate of Vaginal candidiasis and Trichomonas vaginalis is found in rural married women of Tujia nationality in Wulingyuan district City,which is related to multiple factors.Comprehensive measures should be adopted to reduce the prevalence of these diseases.