摘要
目的分析妇科门诊阴道炎患者阴道微生态的分布情况,为临床诊疗提供依据。方法收集2020年7月至2022年6月在北京市昌平区中西医结合医院病理科进行阴道微生态检查的妇科门诊患者4857例,回顾性分析其临床资料及阴道微生态检查结果。结果有97.57%的阴道炎患者存在阴道微生态异常。三个年龄段阴道微生态正常者、阴道菌群正常但功能下降者和阴道菌群异常者所占百分率比较,差异有统计学意义(P<0.05)。三个年龄段的优势菌所占百分率、除过氧化氢酶外的各项干化学检测指标比较,差异有统计学意义(P<0.05)。单纯性阴道炎患者中,三个年龄段外阴阴道假丝酵母菌病、细菌性阴道病和需氧菌性阴道炎的患病率比较,差异有统计学意义(P<0.05)。单纯性阴道炎中仅见1例滴虫阴道炎,混合性阴道炎仅见于20~39岁和40~50岁年龄段。不同季节阴道菌群异常的检出率不同,秋季最高,春季最低(P<0.05)。结论阴道炎患者阴道微生态失调极为严重,仅极少数表现为正常,不同年龄段、不同季节的阴道菌群分布状况不同。
Objective To analyze the distribution of vaginal microecology in patients with vaginitis in gynecological outpatient,and provide evidence for clinical diagnosis and treatment.Methods A total of 4857 patients with vaginitis in gynecological outpatient were collected,who underwent vaginal microecological examination in the Department of Pathology,Changping Hospital of Integrated Chinese and Western Medicine of Beijing from July 2020 to June 2022.The clinical data and the results of vaginal microecology of the patients were retrospectively analyzed.Results The rate of abnormal vaginal microecology was 97.57%in patients with vaginitis.There were statistically significant differences in the rates of normal vaginal microecology,normal vaginal flora but decreased function and abnormal vaginal flora among the three age groups(P<0.05).There was statistically significant difference in the percentage of dominant bacteria and dry chemical detection indicators except catalase among the three age groups(P<0.05).There were statistically significant differences in the prevalence rates of vulvovaginal candidiasis,bacterial vaginosis and aerobic vaginitis in patients with vaginitis among the three age groups(P<0.05).There was only one case of trichomonal vaginitis found in simple vaginitis,and the mixed vaginitis was only found in the 20 to 39 years old group and 40 to 50 years old group.The detection rate of vaginal flora was different in different seasons,with the highest in autumn and the lowest in spring(P<0.05).Conclusion The imbalance of vaginal microecology in patients with vaginitis is extremely serious,and only a few of them are normal.The distribution of vaginal microecology is different in different age groups and seasons.
作者
朱燃
杜鹃
ZHU Ran;DU Juan(Department of Pathology,Changping Hospital of Integrated Chinese and Western Medicine of Beijing,Beijing 102208,China;Department of Obstetrics and Gynecology,Changping Hospital of Integrated Chinese and Western Medicine of Beijing,Beijing 102208,China)
出处
《妇儿健康导刊》
2024年第1期186-190,共5页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
阴道微生态
阴道炎
妇科门诊
Vaginal microecology
Vaginitis
Gynecological outpatient
