2261例妊娠女性下生殖道微生态检测结果分析

Analysis of microecological detection results of vagina in 2261 pregnant women

目的:了解本地区妊娠女性下生殖道微生态状况.方法:对2017年9月~2018年6月来济南市妇幼保健院产科门诊就诊的2261例妊娠女性下生殖道分泌物进行检测,检测项目包括盐水湿片显微镜检查、革兰染色检查菌群和病原微生物检查,并依据相关标准进行全面微生态评价.结果:下生殖道微生态平衡者1482例,占比65.5%,微生态失衡者779例,占比34.5%,其中VVC感染率最高,占比15.3%,不同孕期的妊娠女性下生殖道微生态失衡总体上有差异,BV在不同孕期的感染率有差异,且感染率随着孕期的增加降低,不同年龄组的妊娠女性下生殖道微生态失衡总体上无差异.结论:妊娠期下生殖道微生态失衡发生率较高,妊娠期下生殖道感染以VVC最常见.孕中期女性下生殖道微生态失衡率最高,年龄并非决定因素.

Objective: To understand the microecology of lower genital tract in pregnant women in this region. Methods: From September 2017 to June 2018, 2261 pregnant women with lower reproductive tract secretions were examined in the obstetrics clinic of Jinan maternal and child health hospital. The test items in elude saline wet microscopy, gram staining, and pathogenic microbial examination and comprehensive microecological evaluation based on relevant standards. Results: There were 1482 cases of lower reproductive tract microecological balance, accounting for 65.5%, and 779 cases of microecological imbalance, accounting for 34.5%. The vulvovaginal candidiasis (VVC) infection rate was the highest, accounting for 15.3%. There were overall differences in the lower genital tract microecological imbalance of pregnant women during different pregnancies. The infection rates of BV in different pregnancies were different. And the infection rate decreases with the increase of pregnancy.Conclusion:Pregnant women have high incidence rate of lower gential tract microecological imbalance, and the most common pathogeny is VVC. Mid-gestation pregnant women have most incidence rate oflower genital tract microecological imbalance, and age is not a determining factor.