宫颈上皮内瘤变患者术后阴道病原体感染的影响因素研究

Influencing factors of vaginal pathogen infectionin patients with cervical intraepithelial neoplasia

  • 摘要: 目的 研究宫颈上皮内瘤变(CIN)患者术后阴道病原体感染的影响因素,为临床提供依据。方法 选取2010年12月-2015年12月医院诊治620例CIN患者临床资料进行分析,入院后对患者进行常规检查且行宫颈LEEP术治疗,采用自拟问卷调查表对患者阴道病原体感染的影响因素进行统计,并行单因素和多因素非条件logistic分析。结果 620例CIN患者术后58例发生阴道病原体感染,感染率为9.35%;感染患者中共分离出89株病原体,排在前两位的分别为人乳头瘤病毒、沙眼衣原体,分别占40.45%和23.60%;单因素及多因素非条件logistic分析结果显示,CIN患者阴道病原体感染与年龄、宫颈上皮内瘤变分级、术后切缘阳性以及锥切后HPV持续感染关系密切,差异有统计学意义(P<0.05)。结论 CIN患者术后阴道病原体感染危险因素较多,术后应加强患者病原菌及耐药性检测,以降低感染率。

     

    Abstract: OBJECTIVE To investigate influencing factors of vaginal pathogen infection in patients with cervical intraepithelial neoplasia(CIN),so as to provide a basis for clinical practice.METHODS Clinical data of 620 cases of CIN patients in the hospital from Dec.2010 to Dec.2015 were analyzed.The patients were received routine examination and cervical LEEP surgery treatment after admission.Self questionnaire of influencing factors of vaginal pathogen infection was used,and univariate and multivariate unconditional logistic regression analysis was conducted.RESULTS There were 58 cases occurred vaginal pathogen infection in 620 cases CIN patients,and the infection rate was 9.35%.Totally 89 strains of pathogens were isolated,the top two were human papillomavirus(HPV)and Chlamydia trachomatis(Ct),accounting for 40.45% and 23.60%.Univariate analysis and multivariate unconditional logistic regression analysis showed that age,cervical intraepithelial neoplasia grade,postoperative positive margin and persistent HPV infection after conization were closely related with vaginal pathogen infection of CIN patients,and the differences were significant(P<0.05).CONCLUSION Vaginal pathogen infection in patients with cervical intraepithelial neoplasia has many risk factors,postoperative patients should be strengthened pathogens and drug resistance tests,so as to reduce infection rates.

     

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