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育龄女性临床常见感染性阴道炎及病原体分析 被引量:18

Clinical infectious vaginitis and its pathogens in women of childbearing age
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摘要 目的:分析并探讨育龄女性临床常见的感染性阴道炎及其病原体特征。方法:选取2012年1月至2015年5月在我院接受阴道涂片检查的育龄女性患者2190例,根据患者年龄将其分为观察A组(年龄18~30岁)、观察B组(年龄31~40岁)、观察C组(年龄41~48岁),采集阴道后穹隆分泌物标本,进行病原体检测。结果:观察A组694例,检出人数357例(51.44%),检出病原菌375株;观察B组995例,检出人数500例(50.25%),检出病原菌529株;观察C组501例,检出人数249例(49.70%),检出病原菌263株。三组病原菌检出率经统计学检验无显著差异(P〉0.05)。病原菌主要有白色念珠菌、阴道加德纳菌、阴道毛滴虫,淋病奈瑟菌。观察A组白色念珠菌占63.47%,高于观察B组(51.23%)和观察C组(40.30%)。观察A组阴道加德纳和阴道毛滴虫占31.73%和2.67%,低于观察B组(38.75%,5.86%)和观察C组(42.21%,8.75%)。结论:育龄女性为感染性阴道炎的好发群体,随着年龄的增长,白色念珠菌检出率呈下降趋势,阴道加德纳菌和阴道毛滴虫检出率呈上升趋势。 Objectives: To analyze and discuss clinical common vaginal infection and pathogen- line features in women of childbearing age. Methods: 2190 female patients of childbearing age received vaginal smear ex-amination in our hospital from January 2012 to May 2015 were selected and,according to the patients age'divided into observation group A( 18- 30 years old),observation group B( 31- 40 years old) and observation group C( 41- 48 years old). The vaginal fornix secretions were collected to test the pathogens. Results: In group A( n =694),357 cases( 51. 44%) were detected and pathogen was detected in 375 patients. In group B( n = 995),500cases( 50. 25%) were detected and pathogen was detected in 529 patients. In group C( n = 501),249 cases( 49. 70%) were detected,and pathogen was detected in 263 patients. No statistically significant difference was found among the three groups in pathogen detection rate( P〉0. 05). The pathogens detected were mainly Candida albicans,G. vaginalis,Trichomonas vaginalis and Neisseria gonorrhoeae. The Candida albicans in group A accounted for 63. 47%,higher than that in group B( 51. 23%) and group C( 40. 30). The vaginalis and Trichomonas vaginalis in group A accounted for 31. 73% and 2. 67% respectively,lower than that of group B( 38. 75%,5.86%) and group C( 42. 21%,8. 75%). Conclusion: Women of childbearing age are vulnerable to infectious vaginitis. The detection rate of Candida albican decreases with age increasing while that of G. vaginalis and Trichomonas vaginalis increases.
作者 徐林萍 严玮
出处 《中国性科学》 2016年第5期71-73,共3页 Chinese Journal of Human Sexuality
关键词 感染性阴道炎 白色念珠菌 阴道加德纳菌 阴道毛滴虫 淋病奈瑟菌 Infectious vaginitis Candida albicans G.vaginalis Trichomonas vaginalis Neisseria gonor rhoeae
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