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目的探讨五项酶联合检测在需氧菌性阴道炎(AV)诊断与治疗中的作用。方法用五项酶联合检测法和传统方法 (联合患者的临床症状、体征和阴道分泌物涂片镜检)检测患者的阴道分泌物。结果 2 663例阴道分泌物标本,五项酶联合检测法阳性率为90.3%,阴性率为9.7%;传统方法诊断AV的阳性率为91.6%,阴性率为8.4%。两者经χ2检验,差异无统计学意义(P<0.05)。结论传统方法综合诊断AV步骤繁琐,五项酶联合检测需氧菌性阴道病方法简便快速,和传统方法综合诊断结果符合率高。五项酶联合检测可以取代传统繁琐的检测手段成为门诊妇科医生诊断AV的实验室快速检测方法。
Objective To investigate the role of five enzymes in the diagnosis and treatment of aerobic bacterial vaginitis (AV). Methods Five patients were tested for vaginal secretions by a combination of five enzyme assays and traditional methods (combined with clinical symptoms, signs and vaginal smear). Results A total of 2 663 samples of vaginal secretions were collected. The positive rate of the combined detection of five enzymes was 90.3% and the negative rate was 9.7%. The positive rate of AV was 91.6% and the negative rate was 8.4%. The two by χ2 test, the difference was not statistically significant (P <0.05). Conclusion The traditional method of comprehensive diagnosis of AV cumbersome procedures, five enzymes combined detection of aerobic bacterial vaginosis method is quick and easy, and the traditional method of comprehensive diagnostic results with a high rate. Five enzymes combined detection can replace the traditional tedious detection methods to become outpatient gynecologists diagnose AV laboratory rapid detection method.