摘要
目的了解妇科门诊生殖道感染状况及影响因素,为制定有效的预防和控制措施提供依据。方法收集2010年1月-2012年12月妇科门诊就诊主诉阴道分泌物异常的女性患者1 174例,采用统一的方法进行问卷调查、临床检查和实验室检查;应用单因素χ2检验和多因素条件logistic回归对生殖道感染的影响因素进行分析。结果 1 174例患者中生殖道感染397例,感染率为33.82%,其中慢性宫颈炎多见,感染率15.93%,其他主要有细菌性阴道炎7.07%,假丝酵母菌性阴道炎3.58%,滴虫性阴道炎2.21%,衣原体属感染1.45%等,经χ2检验,妇女生殖道感染与年龄、文化程度、职业、生育史、流产史、避孕方式、月收入等因素有相关性;多因素条件logistic回归分析妇女生殖道感染的危险因素主要有年龄(P=0.042,OR=2.316)、经济收入(P=0.017,OR=3.097)、文化程度(P=0.007,OR=2.687)、避孕方式(P=0.031,OR=2.735)和流产史(P=0.011,OR=2.716)。结论育龄妇女生殖道感染率较高,其发生与多种因素相关,应开展有针对性的健康教育和妇科普查,采取综合干预措施控制生殖道感染的发生。
OBJECTIVE To understand the incidence of genital tract infections in gynecologic outpatient department and the influencing factors so as to put forward effective prevention and control measures. METHODS Totally 1174 female patients with abnormal vaginal discharges, who were treated in the gynecologic outpatient department from Jan 2010 to Dec 2012, were enrolled in the study, then the questionnaire survey, clinical examination, and laboratory test were conducted by means of unified method; the univariate chi-square test and the conditional multivariate logistic regression analysis were performed to analyze risk factors for the genital tract infections. RESULTS Of totally 1174 patients investigated, the genital tract infections occurred in 397 .cases with the infection rate of 33. 82%, among which 15.93% were with chronic cervicitis, 7.07% with bacterial vaginitis, 3.58% with Candida vaginitis, 2. 21 % with trichomonas vaginitis, l. 45 % with Chlamydia infection. The result of the chisquare test showed that the incidence of genital tract infections was related to the age, education level, occupation, child-bearing history, miscarriage history, contraceptive method, or monthly income; the conditional multivariate logistic regression analysis indicated that the main risk factors for the genital tract infections included the age（P= 0.042,OR=2. 316）, incomes（P=0. 017,OR=3. 097）, education level（P=0. 007,OR=2. 687） ,contraceptive method（P=0. 031 ,OR= 2.135）, and miscarriage history（P= 0.011, OR= 2.716）. CONCLUSION The incidence of the genital tract infections is high in the women of child-bearing age , which is related to multiple factors; it is necessary to conduct targeted health education and gynecological census and take comprehensive intervention measures so as to control the genital tract infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第5期1252-1254,共3页
Chinese Journal of Nosocomiology
基金
浙江省中医药科学研究基金项目(2013ZB058)
关键词
妇女
生殖道感染
影响因素
Women
Reproductive tract infection
Influencing factor
