门诊患者4344例阴道微生态特征分析

Analysis of endovaginal microecologics characteristics of 4344 patients in outpatients

目的:分析门诊患者阴道微生态分布特征,为临床诊疗提供指导。方法:2019年3-7月选取门诊患者4 344例,按年龄分为6组,均对阴道微生物状态进行回顾性分析。结果:4 344例患者中,阴道微生态正常83例,阴道微生态异常4 261例。单纯性阴道炎1 211例,混合阴道炎86例,其中单纯性阴道炎以细菌性阴道炎(BV)为主,其次为外阴阴道假丝酵母菌病(VVC);混合性阴道炎以BV+VVC为主。结论:阴道微生态异常在门诊患者中发生率极高,在明确病因的阴道炎患者中存在混合感染,临床治疗疾病的同时应注意阴道微生态平衡,防止阴道炎的反复发作。

Objective:To analysis the distribution characteristics of endovaginal microecologics of outpatients,to provide guidance for clinical diagnosis and treatment.Methods:From Mar to Jul 2019,4344 outpatients were selected,they were divided into 6 groups according to age.All of patients's endovaginal microecologics were retrospective analysed.Results:In the 4344 patients,83 patients had nomal endovaginal microecologics,4261 patients of endovaginal microecological abnormalities.1211 patients with colpitis simplex,86 patients with mixed vaginitis,the simple vaginitis is mainly bacterial vaginitis(BV),followed by vulvovaginal candidiasis(VVC);The mixed vaginitis is mainly BV+VVC.Conlusion:The incidence of endovaginal microecological abnormalities is very high in outpatients,the patients with a definitive cause of vaginitis had mixed infection,when treating diseases clinically,attention should be paid to endovaginal microecological balance,to prevent recurrent attacks of vaginitis.