五联检检测4456例阴道分泌物病原体分析
Analysis of laboratory examination results of 4 456 vaginal discharge samples
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摘要: 目的:了解妇科门诊阴道炎症患者阴道分泌物病原体的检出及分布。方法:采用阴道炎五联检试剂盒对4 456例阴道分泌物进行霉菌、细菌、滴虫及阴道清洁度检查,比较不同清洁度和年龄段患者的病原体检出率。结果:4 456例中清洁度Ⅲ~Ⅳ度患者阴道分泌物中各病原体检出率均高于清洁度Ⅰ~Ⅱ度患者(P0. 01)。26~35岁组、36~45岁组患者的霉菌、细菌、滴虫检出率均高于25岁组、46~55岁组和55岁组患者(P0. 05)。结论:引起妇科门诊患者阴道炎症的病原体以霉菌性最多见,其次是细菌性阴道炎和滴虫性阴道炎;在检验时,清洁度正常的阴道分泌物也应注意查找病原菌。Abstract: Objective: To analyze the detection and distribution of vaginitis related pathogens of the outpatients in the gynecology department of our hospital. Methods: Four thousand four hundred and fifty-six vaginal discharge samples were detected of the fungus, bacteria, trichomonas and cleanness degree by vaginitis penta-pathogen detection kit. The detection rates in different age groups and the cleanness grades were compared. Results: The detection rate of various pathogens in patients with Ⅲ - Ⅳ grades of vaginal cleanness was higher than that in patients with Ⅰ - Ⅱ grades of vaginal cleanness ( P < 0. 01) . The detection rate of fungus,bacteria and trichomonas in the age groups of 26 - 35 and 36 - 45 was higher than that in the age groups of 25, 46 - 55 and > 55( P < 0. 05) . Conclusions: The most common pathogens in the vaginitis of the outpatients in the department of gynecology were fungus,bacteria and trichmonas. Vaginal discharge with normal cleanness should also be detected of the pathogens.