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目的:比较临床常用的方法对外阴阴道念珠菌的检验,为临床诊断提供服务。方法:对189例女性患者阴道分泌物采用盐水法、快速乳胶凝集法、革兰染色法和SDA培养法进行检验。结果:四种方法检测阴道念珠菌的检出率分别为:13.23%、20.63%、23.81%和33.86%,以SDA培养法为标准与其他三种方法结果比较,差异有统计学意义(P<0.05)。而革兰染色法与快速凝集法比较差异无统计学意义(P>0.05)。结论:四种方法各有特点。SDA培养法检出率高,时间较长。盐水法作简便快速,最适合门诊患者的检查。
Objective: To compare the clinical methods commonly used to test vulvovaginal candidiasis, to provide services for clinical diagnosis. Methods: The vaginal secretions of 189 female patients were tested by saline method, rapid latex agglutination, Gram staining and SDA culture. Results: The detection rates of Candida albicans by the four methods were 13.23%, 20.63%, 23.81% and 33.86%, respectively. Compared with the results of the other three methods by SDA culture method, the difference was statistically significant (P < 0.05). There was no significant difference between Gram stain and rapid agglutination (P> 0.05). Conclusion: The four methods have their own characteristics. SDA culture detection rate is high, a long time. Saline method for quick and easy, most suitable for outpatient examination.