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目的了解深圳地区妊娠期妇女外阴阴道假丝酵母菌携带情况与其相关影响因素。方法对产前门诊的2200例孕妇进行阴道分泌物假丝酵母菌检测,了解假丝酵母菌阳性率,并对所有对象进行问卷调查,了解相关影响因素并进行统计分析。结果深圳地区妊娠期妇女外阴阴道假丝酵母菌携带率为18.05%,携带率随孕周增长而增加,妊娠中、晚期携带率较妊娠早期显著升高(P<0.01)。检测阳性的孕妇肥胖、孕前VVC病史、血糖异常、生活习惯不良的比例显著高于检测阴性的孕妇(P<0.01)。结论深圳地区妊娠期妇女外阴阴道假丝酵母菌携带率在正常范围内,对存在肥胖、孕前VVC病史、血糖异常、生活习惯不良等高危易感因素的妊娠妇女应进行阴道分泌物假丝酵母菌检测,以作为积极防治的依据。
Objective To investigate the prevalence and influencing factors of Candida vulgaris in pregnant women in Shenzhen. Methods 2200 pregnant women in prenatal clinic were tested for Candida albicans vaginal secretions, to understand the positive rate of Candida, and all subjects were surveyed to understand the relevant factors and statistical analysis. Results The prevalence of vulvovaginal candidiasis in pregnant women in Shenzhen was 18.05%. The carrying rate increased with gestational age. The carrying rate in late pregnancy was significantly higher than that in early pregnancy (P <0.01). The percentage of pregnant women who tested positive for obesity, pre-pregnancy VVC history, abnormal blood glucose, and poor living habits was significantly higher than that of negative pregnant women (P <0.01). Conclusion The prevalence of vulvovaginal candidiasis in pregnant women in Shenzhen is within the normal range. Pregnant women with high-risk and susceptible factors such as obesity, history of pre-pregnancy VVC, abnormal blood glucose and bad habits should carry out Candida vaginalis Testing, as a basis for active prevention and treatment.