2066 例妇女阴道微生态失调构成情况分析[J].pdfVIP

国际妇产科学杂志20 12 年4 月第39 卷第2 期 J Int Obstet Gynecol April 2012 Vol. 39 No. 2 191 论 著 2 066 例妇女阴道微生态失调构成情况分析 彩艳 张洪文 王 新 李 菡 周 英吟 揖摘 要铱 目的 了解妇科门诊妇女阴道微生态平衡失调者白带异常检出率尧构成比和年龄分布情况遥 方法 收集2009 年11 月要2010 年1 月在中南大学湘雅二医院妇科门诊就诊的有明显症状妇女的阴道分泌物 采用革兰 染色及阴道pH 试纸方法检测 同时以问卷方式采集受 者基本资料 并进行相应的统计学处理遥 结果 4 025 例患 者中有2 066 例白带检测异常 总检出率为51.33% 其中外阴阴道假丝酵母菌病占28.99% 细菌性阴道病占 8.57% 滴虫性阴道病为2.03% 混合性阴道炎为0.48% 未定义及未分类的阴道微生态失调为59.92% 遥 阴道微生态 失调妇女各年龄构成中＜21 岁组为2.4% 21耀岁组为32.7% 31耀岁组为38.2% 41耀岁组为21.7% ＞50 岁组为 5.0%遥 各种阴道微生态失调的中位数年龄中除混合性阴道炎位于21耀30 岁 其他均位于31耀40 岁遥 结论 阴道微生 态 衡失调中外阴阴道假丝酵母菌病构成比明显高于细菌性阴道病尧滴虫性阴道炎及混合性阴道炎遥 外阴阴道假 丝酵母菌病尧细菌性阴道病尧滴虫性阴道炎及混合性阴道炎均好发于生育期年龄女性遥 除上述阴道炎症外 尚有大 部分阴道微生态失调需要定义遥 揖关键词铱 念珠菌病 外阴阴道曰 滴虫性阴道炎曰 细菌性阴道炎曰 阴道炎曰 诊断 Analysis on 2 066 Cases of Imbalance in Female Vaginal Micro -ecological Environment X IA O Cai -yan ZHA NG Hong -wen WA NG X in LI H an ZH OU Ying. Dep artment of Obstetrics and Gynecology the Second X iangya Hosp ital of Central South University Changsha 410011 China 咱XIA O Cai-yan 渊now working at Department of Obstetrics and Gynecology Zhuz hou First Municip al Hosp ital 冤 ZHA NG Hong-wen WA NG X in LI H an ZH OU Ying暂 Corresp onding author 院ZH OU Ying E-mail 院zy6216@ 揖Abstract 铱 Objective To investigate the gynecological clinic detection rate proportion and age distribution of vaginal microflora imbalance. Methods Gram staining gynecological clinic patients with clinical symptoms of vaginal secretions detection of vaginal pH. Results Vaginal microbial disorder detection rate was 51.33% vulvovaginal candidiasis accounted for 28.99% bacterial vaginosis accounting for 8.57% trichomoniasis vaginosis was 2.03% mixed vaginitis was 0.48% unde鄄 fined vaginal microbial imbal