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目的探讨生化快速检测法在诊断需氧菌阴道炎中的临床价值。方法分别使用镜检法和生化快速检测法对320例疑似需氧菌阴道炎患者的阴道分泌物进行检查。结果在320例就诊者中,生化快速检测法检出阳性患者286例,镜检法检出阳性患者283例。两种方法的符合率为96.56%[(279+30)/320],二者呈高度一致性(Kappa=0.823,P<0.05)。以镜检法为诊断标准,生化快速检测法的敏感度为98.59%(279/283)、特异度为81.08%(30/37)、阳性预测值为97.55%(279/286)、阴性预测值为88.24%(30/34)。结论生化快速检测法对需氧菌阴道炎的诊断具有较高的敏感度和特异度,值得临床推广使用。
Objective To investigate the clinical value of rapid biochemical detection in the diagnosis of aerobic vaginitis. Methods The vaginal secretions of 320 patients with suspected aerobic bacterial vaginosis were examined by microscopic examination and biochemical rapid test respectively. Results Of 320 patients, 286 positive patients were detected by biochemical rapid test and 283 positive patients by microscopic examination. The coincidence rate of the two methods was 96.56% [(279 + 30) / 320], the two were highly consistent (Kappa = 0.823, P <0.05). The sensitivity of biochemical rapid test was 98.59% (279/283), the specificity was 81.08% (30/37), the positive predictive value was 97.55% (279/286). The negative predictive value 88.24% (30/34). Conclusion The rapid biochemical detection method for the diagnosis of aerobic bacterial vaginitis has a high sensitivity and specificity, worthy of clinical promotion and use.