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目的:了解安徽省农村已婚育龄妇女细菌性阴道病(BV)的现状及相关因素。方法:在保证市级代表性的基础上,分层、整群抽取18～49岁54 540例农村已婚育龄妇女进行健康问卷调查、妇科检查和实验室检查。结果:安徽省农村已婚育龄妇女BV患病率为11.9%(6361/53286),汉族、初潮年龄相对较早、月经周期正常(25～34天)、行经期正常(3～8天)、无原发性痛经、洗脚盆与洗下身盆分开罹患BV的可能性相对较低为保护因素;而已婚妇女学历越低、与丈夫性生活前清洗下身的频率越高越容易罹患BV为危险因素。BV患者中宫颈炎、滴虫性阴道炎和盆腔炎的患病率明显高于无BV妇女,是无BV妇女的0.6、0.7和0.7倍,两组比较差异有统计学意义(P<0.01)。结论:安徽省农村已婚育龄妇女BV发生率较高且受多种因素影响,有关部门应开展有针对性的健康教育和妇科普查,做到早检查、早发现、早治疗。
Objective: To understand the current status and related factors of bacterial vaginosis (BV) in married women of childbearing age in rural areas of Anhui Province. Methods: On the basis of ensuring the representativeness of municipal level, 54 540 rural married women of childbearing age from 18 to 49 years old were selected for health survey, gynecological examination and laboratory examination. Results: The prevalence rate of BV was 11.9% (6361/53286) in married women of childbearing age in rural areas of Anhui Province. Han nationality, menarche age relatively earlier, menstrual cycle was normal (25-34 days), menstrual period was normal (3-8 days) No primary dysmenorrhea, wash basin and wash basin separately from the risk of BV is relatively low as a protective factor; and married women with lower education, with her husband before sex cleaning lower body more easily the risk of BV risk factor. The prevalence of cervicitis, trichomonas vaginitis and pelvic inflammatory disease in patients with BV was significantly higher than those without BV, 0.6, 0.7 and 0.7 times of those without BV, the difference was statistically significant (P <0.01) . Conclusion: The incidence of BV in married women of reproductive age in rural areas of Anhui Province is relatively high and affected by many factors. Relevant departments should carry out targeted health education and gynecological census so as to make early detection, early detection and early treatment.