惠州地区复发性外阴阴道念珠菌病复发因素剖析.docVIP

惠州地区复发性外阴阴道念珠菌病复发因素剖析 　　【摘要】 目的：探讨复发性外阴阴道念珠菌病（RVVC）病情复发因素。方法：选取确诊为RVVC的患者50例和初次或偶发的外阴阴道念珠菌病（VVC）患者50例，分别对两组患者发病前15项生活和生理状况进行调查对比分析。结果：RVVC组排在前5位的因素依次为：发病前5 d内性生活、生理状况差、心理负面情绪、月经来潮和性伴同患生殖器念珠菌病；在生理状况差、心理负面情绪、月经来潮、性伴同患生殖器念珠菌病和性生活频率（≥3次）5个因素，两组间比较差异有统计学意义（P0.05）。结论：RVVC患者病情复发与发病前5 d内性生活、生理状况差、心理负面情绪、月经来潮和性伴同患生殖器念珠菌病有明显关系。 　　【关键词】 外阴阴道念珠菌病； 复发性； 复发因素 　　Analysis of the Relapse Factors of Recurrent Vulvovaginal Candidiasis in Huizhou Region/ZHANG Guo-ping，DONG Jia-hui，WU Hai-juan，et al.//Medical Innovation of China，2014，11（12）：082-084 　　【Abstract】 Objective： To explore the relapse factors of recurrent vulvovaginal candidiasis （RVVC）.Method： 50 patients were diagnosed RVVC and 50 patients with initial or occasional vulvovaginal candidiasis （VVC） were included. 15 items of factors about the lifestyle and the physiological status before the onset of disease were analyzed between the two groups respectively. Result： The top five factors in RVVC group were： sexual activity within 5 days before the onset of disease， poor physical condition， mental negative emotions， menstrual onset and partners with genital candidiasis. There were the significant difference between the two groups in 5 factors： poor physical condition， mental negative emotions， menstrual cramps， partner with genital candidiasis and frequency of sexual activity （≥ 3 times） （P0.05）. Conclusion： The relapse of RVVC has a significant relationship with sexual activity within 5 days before the onset of disease， poor physical condition， mental negative emotions， menstrual onset and partners with genital candidiasis. 　　【Key words】 Recurrent vulvovaginal candidiasis； Recurrent； Relapse factors 　　First-author’s address：The Dermatology Hospital of Huizhou City，Huizhou 516001，China 　　doi：10.3969/j.issn.1674-4985.2014.12.031 　　外阴阴道念珠菌病（vulvovaginal candidiasis，VVC）是一种常见的女性下生殖道感染性疾病，为门诊阴道炎患者中发病率最高的疾病[1]。其中患VVC的妇女经过治疗后，临床症状和体征消失，真菌学检查阴性后，又出现症状，且真菌检查阳性，1年内发作4次或以上者，称为复发性外阴阴道念珠菌病（recurrent vulvovaginal candidiasis，RVVC）[2