妇科阴道分泌物的检查及其临床价值

Examination of Gynecological Vaginal Secretion and Its Clinical Value

目的观察妇科患者阴道病原菌感染状况。方法选取于本院妇科就诊的1 250例女性患者,通过盐水涂片法判断清洁度及镜检。通过唾液酸酶法检测细菌性阴道病(BV)。结果 1 250例女性阴道洁净度为Ⅰ度119例,占9.5%,Ⅱ度516例,占41.3%,Ⅲ度381例,占30.5%,Ⅳ度234例,占18.7%。Ⅲ度、Ⅳ度患者中阴道感染检出率显著高于Ⅰ度和Ⅱ度(P <0.05)。通过对不同年龄组中阴道炎的分析,36~59岁组感染细菌、假丝酵母菌和滴虫均高于其他两组。结论细菌和真菌是中年女性生殖道感染的主要病原体,对阴道分泌物进行常规检测,能够快速简便筛查女性阴道感染性疾病,更好地指导临床用药。

Objective To investigate the prevalence of vaginal pathogens in gynecological patients. Methods A total of 1 250 female patients with gynecology in our hospital were examined by saltwater smear and microscopic examination. Bacterial vaginosis(BV)was detected by sialidase method. Results Among 1 250 women,119(9.5%)were degree Ⅰ,516(41.3%)were degree Ⅱ,381(30.5%)were degree Ⅲ,234(18.7%)were degree Ⅳ. The positive rate of vaginal infection in patients with degree Ⅲ and degree Ⅳ was significantly higher than that in patients with degree Ⅰ and Ⅱ(P<0.05). Through the analysis of vaginitis in different age groups,the infection of bacteria,Candida and trichomonas in the 36~59 years old group were higher than those in other two groups. Conclusion Bacteria and fungi are the main pathogens of reproductive tract infections in middle-aged women. Regular detection of vaginal secretions can quickly and easily screen female vaginal infectious diseases and better guide the clinical use of drugs.