流动人口密集地区阴道感染现状调查

摘要

Objective To explore the current status of vaginal infections and related factors in densely populated areas.Methods The general information and test results were collected by a form survey in the women whose major complaint was abnormal vaginal discharge.Results Among the 210 women who responded to the survey,51 ( 24％ ) often used self-medication for vaginal cleansing; 101 ( 48％ )received vaginal drug administraion at the clinics without license.The vagina was managed in these 152 women ( 72％ ).Candida was positive in 80 ( 38.09％ ) women; bacterial vaginosis was found in 65 ( 30.95％ ); trichomonaswas positive in 18 ( 8.57％ ); mycoplasmawas positive in 13 ( 6.19％ );mixed infection with two pathogens or more was found in 15 ( 7.14％ ).Conclusions Vulvovaginal candidiasis is the most common vaginal infection in this area.This reason is mainly associated with nonstandard therapies including self-medication for vaginal cleansing and/or medical visits at the clinics without license.%目的 了解流动人口密集地区妇科阴道感染的现状及相关因素.方法 采用表格登记方式收集主诉白带异常患者的基本信息及检验结果等相关资料.结果 210例受调查者中,经常自行买药冲洗阴道的51例,占24.29％；曾在医院(非法诊所)阴道上药101人,占48.10％；阴道被处理合计152例,占72.38％.检验结果:210例受调查者中,假丝酵母菌阳性80例,占38.09％；细菌性阴道病阳性65例,占30.95％；滴虫阳性18例,占8.57％；支原体阳性13例,占6.19％；混合感染2种以上致病菌的有15例,占7.14％.结论 外阴阴道假丝酵母菌病是本地区发病率最高的阴道感染,究其原因主要与患者经常自行购药冲洗阴道和(或)到无妇科行医资质的诊所就医等“不规范用药”因素有关.