摘要
目的 了解细菌性阴道病(BV)在早期妊娠时的发病情况及对早孕的不良影响。方法 对735例就诊于我院计划生育门诊的妊娠妇女进行阴道分泌物BV的筛查。结果 检出BV患者80例,霉菌性阴道炎36例,滴虫性阴道炎11例,BV合并霉菌性阴道炎2例,BV合并滴虫性阴道炎1例。患病率分别为10.9%、4.9%、1.5%、0.3%和0,l%。阴道出血8例,其中7例合并BV的感染。Logistic回归分析结果表明,阴道出血与BV的感染呈显著相关(OR=62.7)。BV的患病率随孕周的增加有所增加。结论 BV是妊娠期妇女常见的阴道感染性疾病。患病率明显高于霉菌性阴道炎和滴虫性阴道炎。早期妊娠时的BV是造成先兆流产的重要危险因素。有必要在妊娠早期进行BV的筛查和治疗。
Objective To investigate the prevalence and effects of bacterial vaginosis (BV) in early pregnancy. Methods Bacterial vaginosis was screened by BV Blue (vaginal fluid sialidase activity) in 735 pregnant women. Results Of the 735 cases, 80 bacterial vaginosis, 36 monilial vaginitises, 11 trichomonas vaginitises, 2 monilial vaginitis with BV, and 1 trichomonas vaginitis with BV were found. The prevalence were: 10.9%, 4.9%, 1.5% , 0.3% adn 0.1%, respectively. Of 8 cases with vagina hemorrhage, 7 cases were with BV. Analysis with non- conditional logistic regression model revealed vagina hemorrhage associated obviously with BV infection (OR = 62.7) . BV prevalence increased with gestational weeks. Conclusion BV was common disease of vagina infection in pregnant women. The prevalence was significantly higher than monilial vaginitis and trichomonas vaginitis. BV infection in the early pregnancy was the major risk factor of threatened abortion. It is necessary to screen and treat BV during the early pregnancy.
出处
《临床和实验医学杂志》
2003年第1期37-39,共3页
Journal of Clinical and Experimental Medicine