848例阴道炎患者职业相关影响因素分析

Analysis of occupational related influencing factors in 848 patients with vaginitis

目的探讨阴道炎的职业相关影响因素,为职业女性生殖保健提供重要依据。方法回顾性分析2018年12月—2019年9月就诊于沈阳市妇婴医院妇科门诊的848例职业女性阴道炎患者基本信息及生殖道微生态结果,并分析阴道炎职业相关影响因素。结果848例阴道炎患者年龄主要集中于30~40岁(51.77%),多具有大专/本科/研究生学历(52.48%),已生育女性共612例(72.17%)。所有患者中需氧菌性阴道炎发病率最高(44.46%),其次为混合性阴道炎(24.29%);不同职业中各种阴道炎检出率差异无统计学意义。在所有纳入研究的职业女性中,混合性阴道炎多见于无精神压力(P=0.004)及非久站者(P=0.005);细菌性阴道病多见于久坐者(P=0.004),而外阴阴道假丝酵母菌病则多见于久坐(P=0.011)及非久站者(P=0.001)。结论性生活活跃的育龄期女性容易受到阴道炎的困扰,不同职业女性可能导致不同类型的阴道炎发病率升高。针对不同工作的职业特点,加强生殖保健宣教,对于关爱女性,加强女性职业保护,促进社会健康和谐发展,具有重要意义。

Objective To explore the occupational related influencing factors of vaginitis so as to provide an important basis for professional women’s reproductive health care.Methods We retrospectively analyzed the general information and vaginal micro-ecological test results of 848 occupational female vaginitis patients who were admitted to Gynecological Department of Shenyang Women’s and Children’s Hospital from December 2018 to September 2019,and identified the influencing factors related to occupational vaginitis.Results Most of the 848 patients with vaginitis were aged between 30 and 40 years(51.77%),and the majority had a college/undergraduate/postgraduate degree(52.48%).A total of 612(72.17%)women had their children.Among all the patients,the incidence rate of aerobic vaginitis was the highest(44.46%),followed by mixed vaginitis(24.29%).No statistically significant difference was found in the detection rates of various vaginitis in different occupations.Among all the professional women enrolled in the study,mixed vaginitis was more common in women without stress(P=0.004)or persistent standing(P=0.005),bacterial vaginosis was prevalent in sedentary women(P=0.004),and vulvovaginal candidiasis was rife in sedentary(P=0.011)or non-persistent standing women(P=0.001).Conclusions Sexually active women of child-bearing age are susceptible to vaginitis.Different occupations may lead to the increase in the incidence rates of different types of vaginitis.Enhancing reproductive health education targeted to occupational characteristics of different jobs is of great significance for caring for women,strengthening females’occupational protection,and promoting healthy and harmonious development of the society.