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目的:探讨妇女阴道感染性疾病的发生情况,选择快速而准确的方法进行检查,以明确病因,为治疗用药提供依据。方法:对1 332例门诊患者进行白带湿片、唾液酸酶和革兰染色联合检查。结果:①滴虫、霉菌、细菌性阴道病(简称BV)总感染人数占8.1%。②唾液酸酶法与革兰染色检测BV,阳性率分别为32.6%和31.5%;白带湿片与革兰染色查滴虫,阳性率分别为5.4%和6.8%;以上两两比较,二者间阳性率差异无统计学意义(P>0.05)。革兰染色查霉菌比白带湿片阳性率高,分别为31.1%和27.0%(P<0.05)。革兰染色查线索细胞比白带湿片阳性率高,分别为31.5%和19.5%(P<0.001)。滴虫和霉菌、滴虫和BV、霉菌和BV交叉感染率分别为0.9%、4.1%和6.3%。结论:霉菌、滴虫、BV是妇女常见的阴道感染性疾病,并且存在交叉感染的情况。白带湿片、革兰染色与BV联合检测对临床诊断和治疗意义重大。
Objective: To explore the incidence of vaginal infections in women, choose a quick and accurate method to check in order to clarify the cause, provide the basis for the treatment of medication. Methods: A total of 1 332 outpatients were examined with leucorrhea, sialidase and gram stain. Results: ① Trichomoniasis, mold, bacterial vaginosis (referred to as BV) total infection accounted for 8.1%. ② sialidase and Gram stain detection of BV, the positive rates were 32.6% and 31.5% respectively; leucorrhea wet tablets and Gram stain Trichomonas vaginalis, the positive rates were 5.4% and 6.8% respectively; There was no significant difference between the positive rates (P> 0.05). The positive rate of Gram stain was higher than that of leucorrhea (31.1% and 27.0% respectively) (P <0.05). The positive rates of Gram stain for clues cells were higher than that of leucorrhea (31.5% vs 19.5%, P <0.001). Trichomoniasis and molds, trichomoniasis and BV, mold and BV cross-infection rates were 0.9%, 4.1% and 6.3%. Conclusion: Molds, trichomoniasis, BV are common vaginal infections in women, and there is a case of cross-infection. Leucorrhea wet film, Gram stain and BV joint detection of clinical diagnosis and treatment of great significance.