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目的通过对5 863例妇科疾病患者阴道分泌物进行检查,分析引起妇科疾病的病原体感染分布状况。方法选择2010年11月至2011年5月来义乌妇保院就诊的妇科患者5 863例,对其阴道分泌物进行常规镜检和生化检测。结果在5 863例样本中,清洁度Ⅰ～Ⅱ2 756例,清洁度Ⅲ～Ⅳ3 107例,不同清洁度中病原体的检出率差异有统计学意义(P<0.05),且20～50岁年龄组病原体感染率明显高于其他年龄组(P<0.05)。结论育龄期妇女阴道感染率较高,细菌性阴道病发病率比白色念珠菌性和滴虫性阴道炎均要高。因此,育龄期采取合理有效的措施,预防细菌性阴道病感染是关键。
Objective To investigate the distribution of pathogens causing gynecological diseases in vaginal discharge of 5 863 cases of gynecological diseases. Methods A total of 5 863 gynecological patients from November 2010 to May 2011 in Yiwu Women’s Hospital were selected for routine microscopic examination and biochemical examination of vaginal discharge. Results Among 5 863 samples, there were 756 cases with Ⅰ ~ Ⅱ2 cleanliness and 107 cases with cleanliness Ⅲ ~ Ⅳ3. There was significant difference in the detection rate of pathogens between different cleanliness levels (P <0.05), and the average age of 20 ~ 50 years old The infection rate of pathogens was significantly higher than other age groups (P <0.05). Conclusions The women of childbearing age have a higher rate of vaginal infections and the incidence of bacterial vaginosis is higher than those of Candida albicans and trichomonas vaginitis. Therefore, childbearing age to take reasonable and effective measures to prevent bacterial vaginosis infection is the key.