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白带常规检验中阴道炎五联检的价值分析 被引量:15

Value analysis of five-joint inspection for vaginitis in leucorrhea routine inspection
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摘要 目的探讨白带常规检验中阴道炎五联检的价值。方法选取2015年2月~2018年2月我院妇科门诊收治的320例女性患者作为研究对象,根据检查方法将其分为分为显微镜检测法组和阴道炎五联检法组,各160例。分析两组对阴道炎的检出率、阴道清洁度。结果阴道炎五联检法组对阴道炎检测的阳性率为78.13%,显著高于显微镜检测法组的63.35%,差异有统计学意义(P<0.05)。阴道炎五联检法组白细胞增多、乳酸杆菌、阴道滴虫的检出率分别为10.00%、38.13%、6.88%,显微镜检测法组分别为8.75%、35.63%、10.00%,两组比较,差异无统计学意义(P>0.05)。阴道炎五联检法组对细菌性阴道炎(BV)、念珠菌的检出率分别为12.50%、10.63%,显著高于显微镜检测法组的5.00%、4.38%,差异有统计学意义(P<0.05)。两组的阴道清洁度检测结果比较,差异无统计学意义(P>0.05)。结论阴道炎五联法检测念珠菌和BV的效果较好,明显高于常规检查,有助于协助临床诊断,准确度高,值得临床进一步探讨和推广。 Objective To investigate the value of five-joint inspection for vaginitis in leucorrhea routine inspection. Methods From February 2015 to February 2018, 320 female patients admitted to our gynecological clinic were selected as study objects and they were divided into the microscopic examination method group and five-joint inspection method for vaginitis group according to the examination method, there were 160 cases in each group. The detection rate of vaginitis and vaginal cleanliness of the two groups were analyzed. Results The positive rate of vaginitis in the five-joint examination method for vaginitis group was 78.13%, which was significantly higher than that in the microscopic examination method group (63.35%), and the difference was statistically significant (P<0.05). The detection rate of leucocytosis, Lactobacillus and Trichomonas vaginalis was 10.00%, 38.13% and 6.88% respectively in the five-joint inspection method for vaginitis group for vaginitis, and it was 8.75%, 35.63% and 10.00% in the microscopic examination method group respectively, and there were no significant differences between the two groups (P>0.05). The detection rate of bacterial vaginitis (BV) and Candida was 12.50% and 10.63% respectively in the five-joint inspection method for vaginitis group, which was significantly higher than that in the microscopic examination method group (5.00%, 4.38%) respectively, and the difference was statistically significant (P<0.05). There was no significant difference in the results of vaginal cleanliness between the two groups (P>0.05). Conclusion The effect of the five-joint method for vaginitis detecting Candida and BV is better than routine examination. It is helpful for clinical diagnosis and has high accuracy. It is worth further discussion and promotion in clinic.
作者 罗园生 彭心华 LUO Yuan-sheng;PENG Xin-hua(Department of Clinical Laboratory, Ji′an Maternal and Child Health-Care Hospital, Jiangxi Province, Ji′an 343000, China)
出处 《中国当代医药》 2019年第9期155-157,共3页 China Modern Medicine
关键词 阴道炎五联法 白带常规检测 检出率 阴道清洁度 Five joint inspection for vaginitis Leucorrhea routine inspection Detection rate Vaginal cleanliness
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