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目的了解国内妇科、计划生育科门诊中外阴阴道假丝酵母菌病(VVC)发病情况及有关因素的流行病学资料。方法中华医学会妇产科分会感染协作组于2004年7月15日选取全国14家医院当日所有就诊妇科、计划生育科门诊的全部患者予以调研登记,并行阴道分泌物真菌学镜检。对真菌学镜检阳性,并至少有1项VVC症状和(或)体征的VVC患者进行VVC患者调研表登记,分析。结果(1)患者就诊时炎性疾病最多。(2)各医院患者VVC发生率差异有显著性意义,但若以长江为界,南方地区医院门诊患者的VVC阳性率和北方医院差异无显著性意义。(3)绝经后女性VVC阳性率明显低于育龄期女性。(4)个人卫生习惯中使用不洁卫生用品、经常使用阴道冲洗剂以及长期使用抗生素者患VVC比例高。结论VVC的发生与使用不洁卫生用品、经常使用阴道冲洗剂以及长期使用抗生素有密切关系,VVC主要发生在育龄期妇女。
Objective To understand the prevalence of vulvovaginal candidiasis (VVC) in gynecology and family planning clinics in China and epidemiological data of related factors. Method Chinese Medical Association Obstetrics and Gynecology Branch Infectious Collaboration Group on July 15, 2004 selected 14 hospitals on the day all the visiting gynecology, family planning outpatient department all patients were investigated and registered, parallel vaginal secretions mycology microscopy. VVC patients with positive mycoscopy and at least 1 VVC symptoms and / or signs of VVC patients were registered and analyzed. Results (1) The patients had the most inflammatory diseases at the time of visit. (2) There was significant difference in the incidence of VVC among all hospital patients. However, the VVC positive rate of outpatients in the southern hospital was not significantly different from that in the northern hospital if the Yangtze River was bounded. (3) The positive rate of VVC in postmenopausal women was significantly lower than that in women of childbearing age. (4) the use of dirty hygiene personal hygiene products, regular use of vaginal irrigant and long-term use of antibiotics are suffering from a high proportion of VVC. Conclusions The occurrence of VVC is closely related to the use of unclean hygiene products, regular use of vaginal wasp and long-term use of antibiotics. VVC mainly occurs in women of childbearing age.