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目的通过589名妇女阴道分泌物中几种病原菌的检测,了解河北省任丘地区妇女阴道病感染情况,协助临床更全面地做好妇女健康检查作。方法 2013年3—7月到华北石油疾病预防控制中心做妇科检查的589名妇女,采用常规方法对其589份阴道分泌物进行滴虫、真菌及细菌性阴道病的检查,并对阴道分泌物涂片进行革兰染色光学显微镜镜检。结果 589例阴道分泌物常规检查中发现各种不同异常120例,占20.37%。其中BV(细菌性阴道炎)36例,占6.11%;真菌性阴道炎62例,占10.5%;滴虫性阴道炎10例,占1.70%。20~45岁妇女中,阴道分泌物异常者112例,占异常病例的93.3%(112/120);在清洁度为Ⅰ至Ⅱ度的分泌物中,检出异常者为40例,检出率为14.49%;清洁度为Ⅲ至Ⅳ度的异常检出率为25.56%。结论该地区育龄期妇女阴道感染率较高,白色念珠菌性阴道炎发病率较细菌性和滴虫性阴道炎均要高;不宜根据标本的清洁度来指导临床诊断。
Objective To detect the prevalence of vaginosis among women in Renqiu area of Hebei province by the detection of several pathogens in 589 vaginal secretions of women to help make the clinical health checkup more comprehensive. Methods From March to July 2013, 589 women who did gynecological examinations in North China Petroleum Disease Prevention and Control Center were tested for trichomoniasis, fungi and bacterial vaginosis in 589 vaginal discharges by routine methods. Vaginal secretions Smear Gram stain by light microscopy. Results 589 cases of vaginal secretions routine examination found a variety of different abnormalities in 120 cases, accounting for 20.37%. BV (bacterial vaginitis) 36 cases, accounting for 6.11%; fungal vaginitis 62 cases, accounting for 10.5%; Trichomonas vaginitis 10 cases, accounting for 1.70%. Among 20-45 years old women, 112 cases of vaginal discharge were abnormal, accounting for 93.3% (112/120) of the abnormal cases; among the secretions with cleanliness of Ⅰ to Ⅱ degrees, 40 cases were detected abnormalities, The rate was 14.49%; the anomaly detection rate of grade Ⅲ to grade Ⅳ was 25.56%. Conclusions The women of childbearing age in this area have a high rate of vaginal infections. The incidence of Candida albicans vaginitis is higher than that of bacteria and trichomonas vaginitis. It is not appropriate to guide the clinical diagnosis according to the cleanliness of specimens.