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目的:探讨平湖地区妇女阴道炎感染情况及其病原菌分布状况。方法:采集受检女性阴道分泌物,采用直接涂片和培养等方法检测细菌、支原体和念珠菌,沙眼衣原体采用胶体金法。结果:1 366例阴道炎患者中念珠菌、支原体、细菌的感染率较高,分别为47.0%、46.0%和31.4%,混合感染率为29.2%。各年龄组间细菌(除淋球菌)的感染率差异无统计学意义(P>0.05),各年龄组间念珠菌、支原体、衣原体、淋病奈瑟菌和滴虫的感染率差异有统计学意义(P<0.05)。21～45岁年龄段妇女支原体和衣原体感染率显著高于其他年龄段,45岁以上组滴虫和淋球菌的感染率明显高于<45岁年龄组。结论:平湖地区妇女阴道炎混合感染率较高,临床对阴道炎患者应进行病原菌的联合检测,对合理对症用药有重要意义。
Objective: To investigate the status of vaginitis infection and the distribution of pathogens in Pinghu women. Methods: Female vaginal secretions were collected. Bacteria, Mycoplasma and Candida were detected by direct smear and culture. Chlamydia trachomatis was treated by colloidal gold method. Results: Candida, mycoplasma and bacteria in 1 366 cases of vaginitis had a higher infection rate of 47.0%, 46.0% and 31.4% respectively, and the infection rate was 29.2%. There were no significant differences in the infection rates of bacteria (except Neisseria gonorrhoeae) among different age groups (P> 0.05). The infection rates of Candida, Mycoplasma, Chlamydia, Neisseria gonorrhoeae and Trichomonas were statistically significant among all age groups (P <0.05). The prevalence of mycoplasma and chlamydia in women aged 21-45 years was significantly higher than that in other age groups. The infection rates of Trichomonas and Neisseria gonorrhoeae in the group of 45 years old and above were significantly higher than those in the <45 years old group. Conclusion: The prevalence of vaginitis infection is high in Pinghu district. Combined detection of pathogenic bacteria should be carried out in patients with vaginitis, which is of great significance to reasonable symptomatic treatment.