女性患者阴道分泌物及宫颈衣原体与支原体检测结果分析

Analysis of the detection results of vaginal secretions and cervical chlamydia and mycoplasma

  • 摘要: 目的 观察女性患者阴道分泌物及宫颈衣原体、支原体感染情况,为临床治疗提供依据。方法 选择2015年1 -12月医院门诊就诊的初诊女性患者1200例进行研究,收集患者的阴道分泌物和宫颈衣原体及支原体检查结果。结果 1 200例患者中,发生霉菌性阴道炎143例,发生率为11.9%;细菌性阴道病94例,发生率为7.8%;滴虫性阴道炎11例,发生率为0.9%;不同年龄段霉菌性阴道炎、细菌性阴道病、滴虫性阴道炎的发生率比较差异无统计学意义;阴道清洁度Ⅲ~Ⅳ度患者霉菌性阴道炎、细菌性阴道病、滴虫性阴道炎的发生率均高于阴道清洁度Ⅰ~Ⅱ度者,差异有统计学意义(P<0.05);宫颈衣原体感染139例,感染率为11.6%,支原体感染449例,感染率为37.4%;不同年龄段之间宫颈衣原体和支原体感染率比较,差异有统计学意义(P<0.05),宫颈衣原体检出率在25~34岁和35~44岁患者较高,分别为15.2%和17.0%;支原体的检出率在25~34岁和35~44岁患者也较高,分别为50.2%和49.5%。结论 女性霉菌性阴道炎和细菌性阴道病的发生率较高,阴道炎的发生和阴道清洁度关系密切,衣原体和支原体是宫颈常见的病原菌,在35~44岁之间检出率高。

     

    Abstract: OBJECTIV To observe the vaginal secretions and the infections of chlamydia and mycoplasma of female patients,so as to provide the basis for clinical treatment. METHODS selected total of 1200 cases of newly diagnosed female patients from Jan. to Dec. 2015 in the hospital were selected for the study. The detection results of vaginal secretions and chlamydia and mycoplasma were collected. RESULTS In the 1200 cases of vaginal secretions, fungal vaginitis were 143 cases, with the infection rate of 11.9%, bacterial vaginosis were 94 cases, with the infection rate of 7.8%, and trichomonas vaginitis were 11 cases, with the infection rate of 0.9%. There was no significant difference in the infection rates of mycotic vaginitis, bacterial vaginosis and trichomonas vaginitis among different age groups. The incidence of mycotic vaginitis, bacterial vaginosis and trichomonas vaginitis in patients with Ⅲ-Ⅳ degree of vaginal cleanliness were significantly higher than those with Ⅰ-Ⅱ degree of vaginal cleanliness (P<0.05). In 1,200 cases of patients, the cervical chlamydia infection were 139 cases, with the infection rate of 11.6%, and the mycoplasma infection were 449 cases, with the infection rate of 37.4%. The detection rate of chlamydia and mycoplasma in different age groups was significant (P<0.05). The detection rates of cervical chlamydia in 25-34 years old and 35-44 years old were higher, which were 15.2% and 17.0% %, and the detection rates of mycoplasma in 25-34 years old and 35-44 years old were also higher, which were 50.2% and 49.5%. CONCLUSION The infection rates of female fungal vaginitis and bacterial vaginosis are higher. The occurrence of vaginitis is closely related to vaginal cleanliness. Chlamydia and mycoplasma are common pathogens of cervix, and the detection rate in the 35-44 year-old is high.

     

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