无症状性需氧菌阴道炎的自然转归及其影响因素分析

Analysis of Natural Outcome of Asymptomatic Aerobic Vaginitis and its Influential Factors

目的:研究无症状性需氧菌阴道炎(AV)患者自然转归情况,分析其自然转归的影响因素。方法:选取200例无症状性AV患者,跟踪观察4个月,分析其自然转归及其可能的影响因素。结果:⑴经4个月观察,200例AV患者自愈者仅占5.5%(11例),而进展者高达57%(114例);⑵绝经、教育程度、经常出差、AV病史、性伴侣个数、避孕方式与无症状性需氧菌阴道炎患者进展与否有相关性;⑶经常出差、AV病史及性伴侣个数≥2个是无症状性需氧菌阴道炎进展的危险因素,而教育程度(本科及以上)、避孕套、性伴侣个数(1个)是无症状性需氧菌阴道炎进展的保护因素。结论:⑴多种因素可影响无症状性需氧菌阴道炎的自然结局和转归;⑵无症状性需氧菌阴道炎自愈几率较低,进展风险较大,因此早期的临床干预是必要的。

Objestive To evaluate the natural outcome of patients with AV and to analyze the influencing factors for its outcome. Methods 200 patients with asymptomatic aerobic vaginitis（ AV） were selected and followed up for 4 months to analyze the natural outcome and its possible influencing factors. Relusts ⑴After 4 months of observation,AV patients self-healing only accounted for 5.5%（ 11 cases）,while those who progressed as high as 57%（ 114 cases）; ⑵whether menopause,education,frequent travel,history of AV,the number of sexual partners,contraceptive methods and asymptomatic aerobic bacteria vaginitis patients are related to the progress; ⑶frequent travel,AV history and the number of sexual partners ≥ 2 are the risk factors of asymptomatic aerobic bacteria vaginitis. The degree of education（ undergraduate and above）,condoms,the number of sexual partners（ 1） are the protection factors of asymptomatic aerobic bacteria vaginitis.Conclusion ⑴A variety of factors can affect the natural outcome of asymptomatic aerobic vaginitis; ⑵ The self-healing probability of asynptomatic aerobic vaginitis is low and the risk of progression is larger,so early clinical intervention is necessary.