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目的了解云南省怒江州少数民族农村妇女阴道微生态状况,针对现状加强对云南少数民族农村妇女生殖健康教育,改善其生活习惯。方法选取云南省怒江州3个自然村106名少数民族农村妇女作为研究对象,同期体检的120名昆明市健康妇女作对照。常规妇检采集阴道分泌物,进行H2O2含量检测、革兰染色后10×100倍油镜下观察,进行阴道微生态学评价(包括阴道菌群密集度、多样性、炎性反应状况)。结果对106例受检者筛查发现,阴道微生态正常者19例(占17.92%),阴道微生态失衡者(菌群异常、菌群抑制及菌群增殖过度)87例(占82.07%),乳酸杆菌检出率为16.04%;120名昆明健康体检妇女微生态正常者70例(占58.33%),阴道微生态失调50例(占41.66%),乳酸杆菌检出率为59.17%,经比较差异有统计学意义(P<0.05)。结论云南省怒江州少数民族农村妇女阴道微生态状况较城市人群差,应加强对云南农村少数民族妇女生殖健康知识的普及,改善其生殖健康状况。
Objective To understand the vaginal microecological status of ethnic minority women in Nujiang Prefecture of Yunnan Province and to strengthen the education of reproductive health of ethnic women in ethnic minority areas of Yunnan in order to improve their living habits. Methods A total of 106 ethnic minority rural women from 3 natural villages in Nujiang Prefecture of Yunnan Province were selected as research subjects and 120 healthy women in Kunming during the same period were compared. Vaginal secretions were collected routinely, and H2O2 content was measured. Gram stain was followed by 10 × 100 times oil microscopy to evaluate the vaginal microecology (including vaginal flora density, diversity and inflammatory reaction status). Results A total of 87 cases (82.07%) of vaginal microecological imbalances (abnormality of flora, inhibition of flora and overpopulation of flora) were found in 96 cases of vaginal microbes detected in 106 cases. , Lactobacillus detection rate was 16.04%; 120 Kunming health examination women 70 cases of normal microbiology (58.33%), vaginal microecosystem disorders in 50 cases (41.66%), lactobacillus detection rate was 59.17% The difference was statistically significant (P <0.05). Conclusion The vaginal microecological status of ethnic minority women in Nujiang Prefecture of Yunnan Province is worse than that of urban population. The popularization of reproductive health knowledge of ethnic minority women in rural Yunnan should be strengthened to improve their reproductive health status.