滴虫、霉菌性阴道炎疾病的白带检验结果观察

Observation on Leucorrhea Test Results of Trichomonal Vaginitis and Mycotic Vaginitis

目的对滴虫、霉菌性阴道炎疾病的白带检验结果进行观察,并对其感染率进行动态分析。方法将2016年1月—2020年12月的5年间在我院性病防治门诊接受白带检验的阴道炎女性1 008例作为本次研究对象,回顾分析受检者的白带检验结果,对不同年份、不同年龄受检女性的滴虫感染率、霉菌感染率进行统计计算,并对滴虫感染、霉菌感染患者的白带检验结果进行进一步分析和比较。结果 1 008例接受白带检验的女性中,21例检出滴虫感染,感染率为2.08%;200例检出霉菌感染,感染率为19.84%。从2016年1月—2020年12月,无论是滴虫还是霉菌的感染率都在一定范围内呈波动状态。而在不同年龄的受检女性中,滴虫感染率年龄在31~40岁之间为最高,感染率为3.53%,而霉菌感染则在41岁及以上年龄为最高,感染率为27.27%。对滴虫性阴道炎和霉菌性阴道炎患者的白带检查结果进行具体分析,可见滴虫性阴道炎患者中白细胞+++及以上的检出率为85.71%(18/21),显著高于上皮细胞+++的检出率(0);霉菌性阴道炎患者中上皮细胞+++及以上的检出率为72.00%(144/200),显著高于白细胞+++及以上的检出率17.00%(34/200),差异有统计学意义(P <0.05)。结论近年滴虫性阴道炎和霉菌性阴道炎的感染率都在一定范围内呈波动状态,通过白带检验结果可以对两种阴道炎进行进行预判和评估,为患者的治疗提供指导,保障女性的生殖健康。

Objective To observe the results of leucorrhea test for trichomoniasis and fungal vaginitis,and to analyze the infection rate.Methods A total of 1 008 female vaginitis patients who received leucorrhea test in STD clinic of our hospital from January 2016 to December 2020 were selected as the research objects,and the leucorrhea examination results of the subjects were reviewed and analyzed. The trichomoniasis infection rate and mold infection rate of age ~ tested women were calculated,and the leucorrhea test results test results of patients with trichomoniasis and mold infection were further analyzed and compared. Results Among the 1008 women who received leucorrhea test, 21 cases were infected with Trichomonas,the infection rate was 2.08%;200 cases were infected with mold, the infection rate was 19.84%. From January 2016 to December 2020,the infection rate of trichomonas and mold fluctuated in a certain range.Among the tested women of different ages,trichomonas infection rate was the highest between 31~40 years old(3.53%), while mold infection rate was the highest between 41 years old and above(27.27%). The results of leucorrhea examination in patients with trichomonal vaginitis and mycotic vaginitis showed that the detection rate of leucocytes +++ and above in patients with trichomonal vaginitis was 85.71%(18/21), significantly higher than that of epithelial cells +++(0);the detection rate of epithelial cells + + + and above in patients with mycotic vaginitis was 72.00%(144/200),significantly higher than that of leucocytes +++and above. The difference was statistically significant(P < 0.05). Conclusion In recent years,the infection rates of trichomonal vaginitis and fungal vaginitis are fluctuating in a certain range. The results of leucorrhea test can predict and evaluate the two kinds of vaginitis, provide guidance for the treatment of patients, and ensure the reproductive health of women.