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目的了解张家界市武陵源区已婚妇女阴道念珠菌感染状况,并探讨其相关危险因素,为本病的防治提供科学依据。方法 2009年4-8月对武陵源区2 854例已婚妇女进行调查,采用涂片法对其阴道分泌物进行念珠菌检测,并采用χ2检验及Logistic回归模型对已婚妇女阴道念珠菌感染的相关因素进行单因素及多因素分析。结果 2 854例已婚妇女阴道念珠菌感染率为9.32%;年龄(χ2=37.934,P<0.05)、结婚年限(χ2=36.200,P<0.05)、妇产科手术史(χ2=6.851,P<0.05)不同,感染率不同;多因素Logistic回归分析显示,年龄(30～39岁组OR最大,为5.122,CI=2.326～11.278)、有妇产科手术史(OR=1.399,CI=1.039～1.886)为念珠菌感染的危险因素。结论武陵源区已婚妇女阴道念珠菌感染率较高;30～39岁为感染的高危险年龄段;有妇产科手术史也是念珠菌感染的影响因素,应加强妇科手术后妇女的健康促进。
Objective To understand the prevalence of vaginal candidiasis among married women in Wulingyuan district of Zhangjiajie City and explore the related risk factors to provide a scientific basis for the prevention and treatment of this disease. Methods From April to August 2009, 2 854 married women in Wulingyuan District were investigated. Candida was tested for vaginal discharge by smear method. Candida vaginal candidiasis was detected by Chi-square test and Logistic regression model Related factors for single factor and multivariate analysis. Results The prevalence of vaginal candidiasis in 2 854 married women was 9.32%. The age (χ2 = 37.934, P <0.05), the number of years of marriage (χ2 = 36.200, P < (OR = 1.399, CI = 1.039), the incidence of obstetrics and gynecology (OR = 1.399, CI = 2.326 ~ 11.278) ~ 1.886) is a risk factor for Candida infection. Conclusions The prevalence of Candida vaginalis is high in married women in Wulingyuan district. The age group of 30-39 years is the high risk of infection. The history of obstetrics and gynecology surgery is also the influencing factor of Candida infection. Women’s health promotion should be strengthened after gynecological surgery.