探讨各种阴道炎的症状以及病因分析.docVIP

探讨各种阴道炎的症状以及病因分析 钟何丽 何金会 赵德刚 (山东省淄博市傅山人民医院妇产科) 【摘要】 目的探讨各种阴道炎及混合感染的临床、实验室特征，为正确诊断各种阴道炎提供依据。方法 通过对阴道不适、阴道分泌物异常阴道炎表现的就诊患者785例分析，结合其临床体征、症状及相关实验室检查，诊断阴道炎：即需氧茵性阴道炎(AV)、细茵性阴道炎(Bv)、细茵溶解性阴道炎(溶胞性阴道炎CV)、阴道假丝酵母茵病(vvc)、滴虫性阴道炎(，n，)。分析各种阴道炎及其混合感染诊断特征。结果 各种阴道炎分泌物性状、气味、阴道PH值及清洁度有明显不同，其合并感染时亦显著不同，需仔细辨别。结论 下生殖道感染中阴道炎的感染类别较多，易合并感染，应特别注意其诊断和鉴别诊断的特征，为临床诊断及合理用药提供重要依据，临床实验发现金菊千里光洁美洗液对细菌性阴道炎，霉菌性阴道炎，滴虫性阴道炎等各种阴道炎有效。 【关键词】 阴道炎；细茵性；念珠茵病；滴虫性阴道炎 The clinical and laboratory diagnostic character of kinds of vagiI-itis Zhong Xiaoehun，Zhang Tan，Liu Peixiang，Sun Degang， Han Weiwei，Zhang Aihua(Zibo No．8 Hospital zibo 255026 【Abstract]Objective Explore a variety of vaginitis and mixed infection of clinical and laboratory features，and provide the basis for the correct diagnosis of various types of vaginitis Methods Through vaginal discomfort，abnormal vaginal discharge vaginitis treatment analysis of 785 cases，Joint signs，clinical symptoms and related laboratory tests，diagnosis of vaginitis，Aerobic raginitis(AV)，bacterial vaginosis(BV)， bacteria solubility vaginifis(1ysis vaginitis CV)，v~ ,nd eandidiasis(with VVC)，triehomonas vaginitis(TV)．Analysis of a variety of vaginifis and its diagn ostic features of mixed infection．Result Traits of a variety of vaginitis，discharge，odor and vaginal PH value and cleanliness ale significantly diferent，eo— infection also significantly diferent，need to be carefully distinguished．Conclusion Lower genital tract infection vaginitis infection categories more easily co—infection，should pay particular attention to the characteristics of its diagnosis and diferential diagn osis，and provide all important basis for clinical diagnosis and rational drug USe． 【Key words]Vaginitis；Aerobic；Bacterial；Candidiasis；Tfiehomonas vaginltis 健康女性阴道具有复杂的微生态环境，乳酸杆菌是阴道菌群中的优势菌，产HE02乳酸杆菌是保护妇女免受病原体感染的主要原因L1j。阴道微环境的改变则会导致阴道炎的发生，阴道炎主要有滴虫性阴道炎(trlchomonal vaginitis，TV)外阴道假丝酵母菌炎(vulvovaginal candidiasis，VVC)及细菌性阴道炎(bacterial vaginosis，BV)，另外从微生物学、免疫学及临床特征提出了需氧菌性阴道炎(aerobic vaginitisAV)-2j，溶胞性阴道炎(cyt