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1 阴道炎阴道炎(vaginitis)是最常见的老年妇女生殖道感染性疾病,据报道其发病率可达30％～50％。老年妇女由于卵巢功能衰退,雌激素水平下降,生殖器官萎缩,阴道粘膜变薄,抵抗力差而易受到损伤及感染。又因雌激素缺乏,阴道上皮细胞糖原消失,pH值上升而为细菌繁殖提供了适宜的环境。 1.1 几种常见的阴道炎表现特点及诊断 1.1.1 细菌性阴道炎:多认为其病原菌中约90％为阴道加德杆菌(即嗜血杆菌)及厌氧菌。此外有链球菌、希氏杆菌属、葡萄球菌等致病菌。 (1)加德杆菌阴道炎:①自觉症状较缓和,主要为
1 Vaginitis Vaginitis (vaginitis) is the most common reproductive tract infection in older women, the reported incidence of up to 30% to 50%. Elderly women due to ovarian failure, decreased estrogen levels, genital atrophy, thinning of the vaginal mucosa, poor resistance and susceptible to injury and infection. Because of the lack of estrogen, vaginal epithelial glycogen disappeared, pH value increased for the bacterial breeding provide a suitable environment. 1.1 Several common characteristics and diagnosis of vaginitis 1.1.1 Bacterial vaginosis: Many think that about 90% of its pathogens are Gardnerella vaginalis (Haemophilus) and anaerobic bacteria. In addition there are Streptococcus, Staphylococcus, staphylococcus and other pathogens. (1) Gardnerella vaginitis: ① subjective symptoms more moderate, mainly