女性下生殖道感染病原菌检测方法的结果分析.docVIP

女性下生殖道感染病原菌检测方法的结果分析 　　[摘要] 目的 探讨白带常规镜检法、细菌预成酶谱分析法及联合法3种方法在鉴别诊断女性常见下生殖道感染疾病中的作用。 方法 分别采用白带常规镜检法和细菌预成酶谱分析法对来我院就诊的4130例就诊者的阴道分泌物进行检测，检测结果结合临床表现和治疗效果进行汇总分析比较。 结果 采用白带常规镜检法检出阳性者1976例（检出率47.8%、准确率71.6%）；采用细菌预成酶谱分析法检出阳性者1302例（检出率为31.5%、准确率 58.1%）；采用联合法检出阳性者2622例（检出率63.5%、准确率91.1%）。 结论 联合法集取白带常规镜检法和细菌预成酶谱分析法的优点，能一次采样即可准确鉴别5种女性常见下生殖道感染疾病。 　　[关键词] 白带常规镜检法；细菌预成酶谱分析法；联合法；女性下生殖道感染 　　[中图分类号] R446；R711 [文献标识码] B [文章编号] 1673-9701（2015）15-0102-03 　　[Abstract] Objective To investigate the effect of differential diagnosing female genital tract infection diseases by using leucorrhea microscopy method， bacteria pre-enzyme spectrum analysis method and the joint method. Methods Both leucorrhea microscopy method and bacteria pre-enzyme spectrum analysis method were respectively used to detect the vaginal discharges of 4130 women from our hospital outpatient service， and test results combined with clinical manifestations and treatment effect were also analyzed and compared summarily. Results 1976 patients were founded by using the leucorrhea microscopy method （detection rate and accuracy rate was 47.8%，71.6% respectively）； 1302 cases were founded by using bacteria pre-enzyme spectrum analysis method （detection rate and accuracy rate was 31.5%， 58.1% respectively）； 2622 cases were detected by using the joint detection method （detection rate and accuracy rate was 63.5%， 91.1% respectively）. Conclusion The joint method has the advantages of both leucorrhea microscopy method and bacteria pre-enzyme spectrum analysis method， and can accurately identify five common kinds of female reproductive tract infection diseases with one sample for once. 　　[Key words] Leucorrhea microscopy method； Bacteria pre-enzyme spectrum analysis method； The joint method； Female reproductive tract infection 　　女性下生殖道感染是妇产科临床最常见的疾病[1-3]，发病率高，易复发，高发病率和混合感染是临床医生最难解决的问题[4-6]，其原因主要有3点：①未能及时查出明确的病原体；②经验治疗缺乏针对性；③对阴道微生态环境的修复不够重视。因此，如何及时准确地查明病原体的感染成为解决问题的关键[7-10]。本研究分别采用白带常规镜检法、细菌预成酶谱分析法和联合法对需氧菌阴道炎（AV）、细菌性阴道病（BV）、细胞溶解