摘要
目的探讨妇科门诊细菌性阴道病发病情况及导致细菌性阴道炎发生的危险因素,降低其发病率。方法对2012年6月在医院妇科门诊就诊诊断为阴道炎的150例患者进行病原菌检测及问卷调查,分析细菌性阴道病发病率及相关危险因素。结果调查问卷回收率100.00%,合格率95.33%%;诊断为细菌性阴道病者76例,发病率50.67%,外阴阴道假丝酵母菌病51例,发病率34.00%,滴虫性阴道炎23例,发病率15.33%;患者年龄、文化程度、月收入、流产次数、自行阴道冲洗、月经期用消毒卫生巾、非经期使用护垫、每周性生活次数、避孕方式、阴道炎史均是引起细菌性阴道病的单危险因素,差异有统计学意义(P<0.05);非条件logistic回归分析结果显示,自行阴道冲洗、非月经期使用护垫、阴道炎史是导致细菌性阴道病发生的独立危险因素,月经期使用消毒卫生巾、避孕套避孕是降低细菌性阴道病发生的保护因素。结论妇科门诊细菌性阴道病发病率占阴道炎约50.00%,自行阴道冲洗、非月经期使用护垫及阴道炎史均能增加患有细菌性阴道病的危险性,月经期使用消毒卫生巾及避孕套避孕能减少细菌性阴道病患病概率。
OBJECTIVE To explore the incidence of bacterial colpitis in the gynecology clinic and analyze the related risk factors of the bacterial colpitis so as to reduce the incidence of this disease.METHODS A total of 150 patients who were diagnosed as the vaginitis and were treated in the gynecology outpatient department from Jan 2012 to Jun 2012 were enrolled in the study,the patients were tested for pathogens and were investigated with questionnaires,and the incidence of bacterial colpitis and the related risk factors were analyzed.RESULTS The recovery rate of the questionnaires was 100.00%,and the qualified rate was 95.33%.Totally 76 cases were diagnosed as the bacterial colpitis with the incidence rate of 50.67%,51 cases of Candida vaginitis with the incidence rate of 34.00%,and 23 cases of trichomonas vaginitis with the incidence of 15.33%.The univariate analysis showed that the age,educational level,monthly income,abortion times,vaginal douching,use of sterile sanitary napkin during menstrual period,use of pads during non-menstrual period,weekly frequency of sexual activity,contraceptive methods,and vaginitis history were the single risk factors for the bacterial colpitis,the difference was statistically significant（P0.05）.The unconditional logistic regression analysis results showed that the vaginal flushing,use of pads during non-menstrual period,and vaginitis history were the independent risk factors leading to the bacterial colpitis,and that the use of sterile sanitary napkin during the menstrual period and the condom contraception were the protective factors to reduce the incidence of bacterial colpitis.CONCLUSION Of all the cases with the bacterial colpitis in the gynecology clinic,the cases with vaginitis accounted for 50.00%.The vaginal flushing,use of pads during nonp-menstrual period,and the vaginitis history can increase the risk of suffering from bacterial colpitis,and the use of sterile sanitary napkin during menstrual period and condom contraception can reduce the risk of bacterial colpitis.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第4期852-854,共3页
Chinese Journal of Nosocomiology
关键词
细菌性阴道病
妇科
门诊
发病率
危险因素
Bacterial colpitis
Gynecology
Outpatient
Incidence of a disease
Risk factor
