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目的了解本地区女性阴道炎患者阴道分泌物病原体感染状况,探讨阴道分泌物清洁度、年龄及气候与阴道炎的各种病原体的关系。方法对阴道炎患者采用生理氯化钠溶液湿片镜检,结合快速革兰染色方法,进行阴道分泌物检验。结果 1560例标本中检出清洁度异常821例,检出率为52.6%;线索细胞检出率占23.5%;念珠菌检出率18.0%;滴虫检出率1.6%;革兰阴性双球菌检出率0.9%。不同清洁度中病原体的检出率差异有统计学意义(P<0.01);绝经期妇女线索细胞检出率明显高于未绝经期妇女(P<0.01),而念珠菌、滴虫、革兰阴性双球菌的检出率则相反;各病原体在冬季检出率比夏季减少,差异有统计学意义(P<0.01)。结论此法提高了阴道病原体的检出率,尤其值得在中小型医院推广。
Objective To understand the prevalence of vaginal secretions in women with vaginitis in this area and to explore the relationship between vaginal discharges’ cleanliness, age and climate and various pathogens of vaginitis. Methods Vaginitis patients using physiological sodium chloride solution wet microscopic examination, combined with rapid Gram staining, vaginal discharge test. Results Among the 1560 samples, 821 cases were detected with abnormality of cleanliness, the detection rate was 52.6%, the detection rate of clues was 23.5%, the detection rate of candida was 18.0%, the detection rate of trichomoniasis was 1.6% The detection rate of 0.9%. (P <0.01). The detection rate of clue cells in postmenopausal women was significantly higher than that in non-menopausal women (P <0.01), while Candida, Trichomonas, Gram The detection rate of negative meningococcus was the opposite; the detection rate of each pathogen in winter was lower than that in summer, the difference was statistically significant (P <0.01). Conclusion This method increases the detection rate of vaginal pathogens, in particular, worth promoting in small and medium-sized hospitals.