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目的:了解阴道炎患者细菌性阴道病(Bacterial vaginosis,BV)的发生率和发病的原因。方法:采用快速检测法对3 443例阴道炎患者进行BV的检测,同时采用生理盐水直接涂片法进行阴道清洁度、霉菌及阴道滴虫感染的观察。检查结果采用χ2检验进行不同年龄组间BV发生率的差异分析。结果:阴道炎患者BV的发生率38.11%(1 312/3 443),明显高于霉菌20.88%(719/3 443)、阴道滴虫3.60%(124/3 443)的感染率(P<0.05)。≤20岁、21～30岁、31～40岁、41～50岁和>50岁年龄组BV的发生率分别为39.69%、41.02%、40.10%、34.84%和20.25%,组间比较41岁以上组BV的发生率低于40岁以上组,以>50岁年龄组BV的发生率最低(P<0.05),其他年龄组间比较差异无统计学意义(P>0.05)。阴道清洁度Ⅰ～Ⅱ和Ⅲ～ⅣBV的发生率分别为44.09%和30.98%。BV患者中,同时伴有霉菌感染者占22.56%(296/1 312),阴道滴虫感染患者占5.49%(72/1 312)。结论:泸州地区阴道炎患者以BV为主,亦有合并霉菌和阴道滴虫感染的病例,BV的发生有年龄差异,与阴道清洁度有一定的关系。
Objective: To understand the incidence and causes of bacterial vaginosis (BV) in vaginitis patients. Methods: A total of 3 443 patients with vaginitis were tested for BV by rapid test. Meanwhile, vaginal cleanliness, molds and vaginal trichomoniasis were observed by direct smear method. The test results using χ2 test for different age groups BV incidence of the difference analysis. Results: The incidence of BV was 38.11% (1 312/3 443) in vaginitis patients, which was significantly higher than those in 20.88% (719/3 443) and 3.60% (124/3 443) of vaginitis (P <0.05) ). The incidences of BV in patients ≤20 years old, 21-30 years old, 31-40 years old, 41-50 years old and> 50 years old group were 39.69%, 41.02%, 40.10%, 34.84% and 20.25% respectively, compared with 41 years The incidence of BV in the above group was lower than that in the group over 40 years old. The incidence of BV was the lowest in> 50 years old group (P <0.05). There was no significant difference among other age groups (P> 0.05). The incidences of vaginal cleanliness Ⅰ ~ Ⅱ and Ⅲ ~ Ⅳ BV were 44.09% and 30.98% respectively. In BV patients, 22.56% (296/1 312) were accompanied by mold infection and 5.49% (72/1 312) in patients with vaginal trichomoniasis. Conclusions: BV is the predominant vaginitis patient in Luzhou area. There are also cases of mold infection and vaginal trichomoniasis infection. The incidence of BV varies with age, and has a certain relationship with vaginal cleanliness.