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目的分析云南沧源县8个乡镇不同年龄佤族妇女阴道微生态环境的变化规律。方法用革兰染色法、生化五联法检测以及阴道pH试纸联合对763例佤族妇女的阴道分泌物状态检测。结果 763例受检妇女阴道分泌物中微生态异常比率为50.72%,微生态异常集中在31~50岁妇女中,在31~40岁中最高,假丝酵母菌阴道炎、滴虫性阴道病集中在31~50岁妇女中,而细菌性阴道炎集中在40岁以下妇女,需氧菌性阴道炎高发于31~40岁组中,差异有统计学意义。结论沧源县8个乡镇佤族妇女的阴道微生态失调基本与年龄分布一致,呈正态分布,育龄妇女(尤其是31~40岁)为阴道炎好发年龄组。
Objective To analyze the changes of vaginal microecological environment in Wa women of 8 townships in Cangyuan County of Yunnan Province. Methods The vaginal secretions of 763 Wa women were detected by Gram stain, biochemical analysis and vaginal pH test. Results The prevalence rate of microecological abnormalities in vaginal secretions of 763 women was 50.72%. The microecological abnormalities were concentrated in women aged 31-50 years old, the highest among 31-40 years old. Candida vaginitis, trichomonas vaginitis Concentrated in 31 to 50-year-old women, and bacterial vaginosis concentrated in women under 40 years of age, aerobic bacterial vaginosis in 31 to 40-year-old group, the difference was statistically significant. Conclusions The vaginal microecosystem dysfunction of Wa women in 8 townships in Cangyuan County is basically consistent with the age distribution, and is normally distributed. The women of childbearing age (especially from 31 to 40 years old) are vaginitis-prone age group.