1019例滴虫性阴道炎患者白带常规检查结果分析

Analysis of Results of Routine Examination of Leucorrhea in 1019 Patients with Trichomonal Vaginitis

目的探讨1019例滴虫性阴道炎患者白带常规检验研究,为临床用药及预防复发提供一定的帮助。方法便利选取该院2014年6月—2018年6月确诊为滴虫性阴道炎患者1019例为研究对象,取其白带常规镜检结果进行回顾性分析,并对其不同年龄、不同季节的检出情况进行分析。结果1019例滴虫性阴道炎患者21~30岁滴虫检出率(36.2%)最高,春天检出率(27.2%)最高,白带常规检验结果中,阴道清洁度Ⅳ度(94.2%),Ⅲ度(5.2%),Ⅱ度(0.6%),Ⅰ度未见。其微生物组成分布中杂菌多,乳酸杆菌未见者占比最高,为377例(37.0%),其次为杂菌多,乳酸杆菌少298例(29.2%),1019例标本中676例(66.3%)以杂菌为优势菌,只有5例(0.5%)以乳酸杆菌为优势菌。与其他阴道炎合并感染中,滴虫合并BV阳性感染者最多,为193例(18.9%),其次为滴虫合并BV弱阳性感染141例(13.8),滴虫合并念珠菌感染者21例(2.1%),滴虫合并BV阳性合并念珠菌感染者4例(0.4%),滴虫合并BV弱阳性合并念珠菌感染4例(0.4%)。结论女性滴虫感染者多为21~30岁年龄段,春季多发,阴道清洁度多为Ⅳ度,但Ⅱ度也可见阳性,应引起重视。微生物组成多数为杂菌大量增多,乳酸杆菌未见,合并BV感染者较为多见,少数合并念珠菌感染,也可见滴虫合并BV合并念珠菌感染。可能为临床用药和预防复发提供一定的帮助。

Objective To study the routine examination of leucorrhea in 1 019 patients with trichomonal vaginitis, and to provide certain help for clinical medication and prevention of recurrence. Methods Convenient select a total of 1 019 patients with trichomonal vaginitis diagnosed in the hospital from June 2014 to June 2018 were selected as the research objects, and the results of routine leucorrhea examination were retrospectively analyzed, and their detections in different ages and different seasons were analyzed. Results The detection rate(36.2%) of trichomoniasis in 1 019 patients with trichomonal vaginitis aged 21-30 years was the highest, and the detection rate(27.2%) was the highest in spring. In the results of routine leucorrhea examination, the vaginal cleanliness was Ⅳ(94.2%). Degree Ⅲ(5.2%), Degree Ⅱ(0.6%), Degree Ⅰ was not seen. The distribution of microbial composition contains many miscellaneous bacteria. Lactobacillus accounts for the highest proportion, 377 cases(37.0%), followed by many miscellaneous bacteria, with 298 cases(29.2%) less Lactobacillus, and 676 cases(66.3%) out of 1 019 specimens. The dominant bacteria were mixed bacteria, and only 5 cases(0.5%) used Lactobacillus as the dominant bacteria. Among co-infections with other vaginitis, Trichomonas combined with BV-positive infection was the most, 193 cases(18.9%), followed by Trichomonas combined with BV-positive infection in141 cases(13.8), and Trichomonas combined with Candida infection in 21 cases(2.1%), 4 cases(0.4%) of trichomoniasis combined with BV positive combined with Candida infection, and 4 cases(0.4%) with trichomoniasis combined with weak BV positive combined with Candida infection. Conclusion Female trichomoniasis infections are mostly 21-30 years old, and they are common in spring. The vaginal cleanliness is mostly Ⅳ degree, but the second degree can also be positive, which should be paid attention to. Most of the microbial composition is a large increase in miscellaneous bacteria, Lactobacillus is not found, and BV infection is more common, a few with Candida infection, Trichomonas and BV with Candida infection can also be seen. It may provide some help for clinical medication and prevention of recurrence.