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目的通过不同的检测手段检测基层医院患者的阴道分泌物,了解滴虫性、真菌性阴道炎的检出率,从而探索基层医院最适的检验方案。方法采用回顾性分析,调取本基层医疗机构2010年1月至2013年12月在本院妇科门诊部就诊的900例女性患者,采取两种常用的阴道分泌物检测方法,即涂片镜检法(湿片法)和阴道分泌物p H值测定+抗原检测(抗原法),探索其滴虫性阴道炎和真菌性阴道炎的检出率。结果采用湿片法检测出滴虫性阴道炎阳性共144例,占总例数的16.00%;真菌性阴道炎阳性共207例,占总例数的23.00%;采用抗原法检测出滴虫性阴道炎阳性共179例,占总例数的19.89%;真菌性阴道炎阳性共253例,占总例数的28.11%。结论抗原法较湿片法敏感性和特异性好,结果客观易判读,两种方法差异有统计学意义,后者可作为基层医疗机构首选的阴道分泌物检测手段。
Objective To detect the vaginal discharge of patients in grassroots hospitals by different means of detection and to know the detection rate of trichomonas and fungal vaginitis so as to explore the optimal test plan in primary hospitals. Methods A retrospective analysis was conducted to find out the 900 female patients who visited the gynecology clinic of our hospital from January 2010 to December 2013 in our primary medical institution. Two commonly used vaginal secretions testing methods, namely smear microscopy Method (wet-sheet method) and vaginal secretion p H value + antigen test (antigen method) to explore the trichomonas vaginitis and fungal vaginitis detection rate. Results Totally 144 cases of trichomonas vaginitis were detected by wet-plate method, accounting for 16.00% of the total cases; 207 cases were positive for fungal vaginitis, accounting for 23.00% of the total cases; trichomonas A total of 179 cases of vaginitis positive, accounting for 19.89% of the total number of cases; a total of 253 cases of fungal vaginitis positive, accounting for 28.11% of the total number of cases. Conclusion The antigen method is more sensitive and specific than the wet method, and the results are objective and easy to interpret. The difference between the two methods is statistically significant, which can be used as the first choice of vaginal secretions detection in primary medical institutions.