念珠菌阴道炎影响因素分析及预效果研究.docVIP

念珠菌阴道炎影响因素分析及干预效果研究 　　[摘要] 目的 调查念珠菌阴道炎发病的影响因素并探讨有效的干预方法。 方法 通过问卷调查，了解VVC的易感因素，干预组进行常规治疗及健康教育，常规组只进行常规治疗。 结果 结果表明发病前使用抗生素（OR=2.229）、内裤与袜子一起洗（OR=2.694）、常穿紧身内裤（OR=2.001）、喜欢吃甜食（OR=1.571）、近期洗浴游泳（OR=1.705）是其发病的高危因素，而每天清水洗外阴（OR=0.449）、太阳常晒内裤（OR=0.733）、使用避孕套避孕（OR=0.342）是保护因素。干预后干预组治疗效果明显，随访半年干预组患者的复发率（8.0%）低于常规（23.0%），差异有统计学意义。 结论 外阴阴道念珠菌病的发生与多方面因素有关，健康教育能降低其复发率。 中国论文网 /6/viewhtm 　　[关键词] 念珠菌阴道炎；影响因素；健康教育；复发率 　　[中图分类号] R711.3 [文献标识码] B [文章编号] 1673-9701（2017）27-0059-03 　　Analysis of the influencing factors of candida vaginitis and study on the intervention effect 　　JIA Genmei 　　Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University， Nanjing 210004， China 　　[Abstract] Objective To investigate the influencing factors of Candida vaginitis and explore the effective intervention methods. Methods Through the questionnaire survey， the vulnerability of VVC factors was understood. The intervention group was given routine treatment and health education， and the routine group was only given routine treatment. Results The results showed that application of antibiotics before onset of disease（OR=2.229）， underwear being washed together with socks （OR=2.694）， tight underwear being worn often（OR=2.001）， eating sweets often（OR=1.571），bathing and swimming in recent times（OR=1.705） were the high risk factors of VVC.By contrast，cleaning vulva with clean water daily（OR=0.449）， underwear shone by the sun（OR=0.733），use of condoms for contraception（OR=0.342） were protective factors. After intervention，the curative effect was significant in intervention group.The recurrence rate（8.0%） was lower in the intervention group than in the routine group（23.0%）， and the difference was statistically significant. Conclusion The occurrence of vulvovaginal candidiasis is related to many factors， and health education can reduce the recurrence rate. 　　[Key words] Candida vaginitis； Influencing factors； Health education； Recurrent rate 　　念珠菌性阴道炎（vulvovaginal candidiasis，VVC）是