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目的了解产褥期妇女阴道微生态状况,为临床保健提供循证依据。方法选择长兴县妇幼保健院产后门诊复查的产褥期妇女482例及来院体检的健康妇女86例,采集阴道分泌物作pH、病原体、清洁度和阴道微生态功能检查,进行阴道微生态学评价、比较。结果 482例产褥期阴道pH为(4.62±0.62);阴道清洁度Ⅲ~Ⅳ127例;微生态正常者75例,占15.56%;微生态失调者407例,占84.43%。86例健康妇女阴道pH(4.38±0.65);阴道清洁度Ⅲ~Ⅳ14例;微生态正常者34例,占39.53%;微生态失调者52例,占60.47%。差异有统计学意义。结论产褥期妇女阴道微生态发生改变,表现为pH升高,清洁度下降,微生态失调比例明显升高,应引起临床保健工作者关注。
Objective To understand vaginal microecology status of puerperium women and provide evidence base for clinical health care. Methods A total of 482 puerperal women and 86 healthy women were enrolled in the postpartum clinic of postpartum clinics in Changxing MCH hospital. Vaginal secretions were collected for pH, pathogen, cleanliness and vaginal microecological function, and vaginal microecology was evaluated. . Results 482 cases of puerperal vaginal pH was (4.62 ± 0.62); vaginal cleanliness Ⅲ ~ Ⅳ 127 cases; 75 cases of normal microbiology, accounting for 15.56%; 407 cases of microbiological disorders, accounting for 84.43%. 86 healthy women had vaginal pH (4.38 ± 0.65), vaginal cleanliness (Ⅲ ~ Ⅳ), 34 cases with normal microecology (39.53%) and microbiological disorders (60.47%). The difference was statistically significant. Conclusion The change of vaginal microecology in puerperium women is manifested by the increase of pH, the decrease of cleanliness and the increase of the proportion of microecological disorders, which should be paid more attention to by clinicians.