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对妇科门诊阴道炎病原体分布情况及影响因素进行探讨。方法:回顾性分析2011年1月-2013年12月在赤松镇卫生院妇科门诊就诊并进行阴道分泌物检查的8 796例育龄妇女的临床资料,并对相关资料进行统计学分析。结果:共检出阴道炎患者3 955例,检出率44.96%,其中真菌感染1 186例(13.48%),支原体感染950例(10.80%),细菌感染791例(8.99%),衣原体感染475例(5.40%),滴虫感染396例(4.50%),淋球菌感染157例(1.78%)。真菌、支原体秋冬季节的检出率显著性高于春夏季(P<0.05),细菌性阴道炎在秋季的检出率显著性低于其它三季(P值均<0.05),而衣原体、淋球菌性阴道炎在秋季的检出率显著高于其它三季(P值均<0.05),滴虫性阴道炎在春季的检出率显著低于其它三季(P值均<0.05);低文化程度、阴道内灌洗、非月经期使用护垫、使用阴道节育器、有口交习惯与阴道炎呈正相关,是阴道炎的危险因素,而用避孕套与阴道炎呈负相关,是阴道炎的保护性因素。结论:育龄妇女阴道炎患者中真菌感染是主要的原因,不同季节对阴道炎的发病情况有一定的影响,个人卫生情况和频繁阴道诊疗操作是阴道炎的影响因素。
To investigate the distribution of vaginitis pathogens in gynecology clinic and its influencing factors. Methods: The clinical data of 8 796 women of childbearing age who visited the gynecology clinic of Jiasong Health Center from January 2011 to December 2013 were analyzed retrospectively. The related data were analyzed statistically. Results: A total of 3 955 cases of vaginitis were detected with a detection rate of 44.96%. Among them, 1 186 (13.48%) were fungal infections, 950 (10.80%) were mycoplasmas, 791 (8.99%) were bacterial infections, 475 Cases (5.40%), Trichomonas infection 396 cases (4.50%), Neisseria gonorrhoeae infection 157 cases (1.78%). The detection rates of fungi and mycoplasma in autumn and winter were significantly higher than those in spring and summer (P <0.05). The detection rate of bacterial vaginitis in autumn was significantly lower than that in other three seasons (P <0.05) The detection rate of sex vaginitis in autumn was significantly higher than that in other three seasons (P <0.05). The detection rate of trichomonas vaginitis in spring was significantly lower than the other three seasons (P <0.05) Intravaginal lavage, the use of padding during non-menstrual periods, the use of a vaginal IUD, a positive correlation between oral habits and vaginitis is a risk factor for vaginitis, and condoms are negatively correlated with vaginitis and are protective of vaginitis factor. Conclusion: Fungal infections among vaginal infections in women of childbearing age are the main causes. The incidence of vaginitis in different seasons has a certain impact. The personal hygiene and frequent vaginal diagnosis and treatment are the influencing factors of vaginitis.