妇科门诊阴道分泌物1500例临床检验分析.docVIP

精品论文 参考文献 妇科门诊阴道分泌物1500例临床检验分析 陈辉兰(四川省交通运输厅公路局医院检验科 611731) 【摘要】 目的：分析患有妇科疾妇女阴道分泌物乳酸杆菌群及致病菌分布情况。方法：选取2011年06月至2012年10月期间我院妇科收治的1500例患有妇科病患者作为研究对象，对其阴道分泌物进行滴虫、霉菌、唾液酸酶、白细胞酯酶、过氧化氢浓度、清洁度进行检测。结果：在所有受检妇女阴道分泌物中，霉菌阳性率为11.7%，滴虫阳性率为5.5%，唾液酸酶阳性率为21.7%，白细胞酯酶阳性率为63.9%，过氧化氢浓度阳性率32.9%；清洁度（Ⅰ～Ⅱ）的标本占总检测标本的32.5%，清洁度（Ⅲ～Ⅳ）的标本占总检测标本的67.5%，两类清洁度患者阴道分泌物唾液酸酶、白细胞酯酶、过氧化氢浓度阳性率相比较，差异具有统计学意义（P＜0.05）。结论：在本院妇科门诊接受妇科检查的女性，阴道清洁度较差，阴道菌群失调，值得临床关注。 【关键词】 妇科 阴道分泌物 病菌感染 【中图分类号】R446 【文献标识码】A 【文章编号】2095-1752（2013）12-0013-01 Clinical analysis of 1500 cases of vaginal secretions in outpatient department of gynecology 【Abstract】 Objective:In order to analyses the pathogen distribution and lactobacillus group of vagina secretion from the patients with gynecological diseases. Method: Selected 1500 patients with gynecological diseases as the research objects of our hospital during 201106-201210. Detection of trichomonas, mold, sialidase, white blood cells, hydrogen peroxide concentration, cleanliness by five detection kit. Result: In all of the cases with vaginal secretion, the positive rate of fungi was 11.7%, the positive rate of trichomonas vaginalis was 5.5%, the positive rate of sialidase was 21.7%, the positive rate of leukocyte esterase was 63.9%, the positive rate of 32.9% hydrogen peroxide concentration. The detection rate of cleanliness (I ～ II) and cleanliness (III ～ IV) specimens were 32.5% and 67.5% 67.5% respectively of the total samples. The difference was statistically significant in the vagina secretion of sialidase, white blood cells, the positive rate of hydrogen peroxide concentration in comparison of two kinds of cleanliness（P＜0.05）. Conclusion: The vaginal cleanliness of the patients with gynecologic diseases was poor and existed vaginal dysbacteriosis. It was worthy of clinic attention. 【Key word】gynecology vagina secretion Fungus infection 阴道分泌物是否正常是判断女性生殖系统健康与否的一个重要因素。近年来，一些新的检测指标被应用到阴道分泌物临床检测中。白细胞酯酶反应阴道壁粘膜是否存在较严重炎性反应[1