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目的:分析产后妇女细菌性阴道病联合测定情况。方法:对符合条件的348例产后妇女取阴道分泌物进行过氧化氢浓度、唾液酸甘酶及白细胞脂酶联合测定。结果:348例中测定出现≥1项异常者占51.4%(179/348),阴道分娩测定异常占52.1%(98/188),剖宫产测定异常占50.6%(81/160),阴道分娩与剖宫产的测定异常相比差异无统计学意义(P>0.05)。未进入产程的剖宫产测定异常占49.6%(57/115),产程中急诊剖宫产测定异常占53.3%(24/45),未进入产程的剖宫产与产程中急诊剖宫产测定异常相比差异无统计学意义(P>0.05)。过氧化氢浓度减低在产后最为常见39.1%(136/348),其次是白细胞脂酶活性阳性31.3%(109/348),较少的是唾液酸甘酶活性阳性7.5%(26/348)。结论:产后妇女细菌性阴道病联合测定有助于了解阴道微生态情况,诊断细菌性阴道病为选择用药提供参考。
OBJECTIVE: To analyze the combined measurement of bacterial vaginosis in postpartum women. Methods: 348 cases of postpartum women eligible for vaginal discharge hydrogen peroxide concentration, sialylglycerol and leukocyte lipase combined assay. Results: Of 348 cases, those who had ≥1 abnormality accounted for 51.4% (179/348), 52.1% (98/188) had vaginal delivery abnormalities, 50.6% (81/160) failed abnormalities of cesarean section, vaginal delivery There was no significant difference between the two groups (P> 0.05). 49.6% (57/115) did not enter cesarean section, 53.3% (24/45) failed cesarean section in labor, cesarean section did not enter labor and cesarean section in labor The difference was not statistically significant (P> 0.05). The decrease in hydrogen peroxide concentration was most common in 39.1% (136/348) postpartum, followed by a positive leukocyte lipase activity of 31.3% (109/348) and less of a positive sialyrosinase activity of 7.5% (26/348). Conclusions: The combined measurement of bacterial vaginosis in postpartum women is helpful to understand the vaginal microecology and provide a reference for the diagnosis of bacterial vaginosis.