[1]关佳灏,归巧娣,赵 海,等.西安地区女性患者阴道微生态分析及阴道炎分布特征研究[J].现代检验医学杂志,2024,39(06):174-178+200.[doi:10.3969/j.issn.1671-7414.2024.06.030]
　GUAN Jiahao,GUI Qiaodi,ZHAO Hai,et al.Analysis of Vaginal Microecology and Distribution Characteristics of Vaginitis in Female Patients in Xi’an[J].Journal of Modern Laboratory Medicine,2024,39(06):174-178+200.[doi:10.3969/j.issn.1671-7414.2024.06.030]
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西安地区女性患者阴道微生态分析及阴道炎分布特征研究()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第39卷
期数:
2024年06期
页码:
174-178+200
栏目:
论著
出版日期:
2024-11-15

文章信息/Info

Title:
Analysis of Vaginal Microecology and Distribution Characteristics of Vaginitis in Female Patients in Xi’an
文章编号:
1671-7414（2024）06-174-06
作者:
关佳灏; 归巧娣; 赵 海; 马 娟; 张思若; 王 翠; 胡淑玲; 张利侠
（陕西省人民医院医学检验中心，西安710068）
Author(s):
GUAN Jiahao;  GUI Qiaodi;  ZHAO Hai;  MA Juan;  ZHANG Siruo;  WANG Cui;  HU Shuling;  ZHANG Lixia
（Medical Laboratory Center, Shaanxi Provincial People’s Hospital, Xi’an 710068, China）
关键词:
念珠菌性阴道炎; 细菌性阴道炎; 滴虫性阴道炎; 西安地区; 阴道微生态
分类号:
R711.31；R446.5
DOI:
10.3969/j.issn.1671-7414.2024.06.030
文献标志码:
A
摘要:
目的 探究西安地区女性患者阴道微生态特点和阴道炎分布特征，以便为临床治疗提供可靠的参考依据。方法选取2018 年1 月～ 2023 年8 月于陕西省人民医院就诊的102 124 例女性作为研究对象，采集患者阴道分泌物标本，并对阴道微生态状况进行检测和分析。结果 102 124 例女性患者中，99.87% 存在阴道微生态失衡，主要疾病类型为念珠菌性阴道炎（vulvovaginal candidiasis，VVC），占16.03%；细菌性阴道炎（bacterial vaginosis，BV），占9.61% 和滴虫性阴道炎（trichomonal vaginitis，TV），占1.34%。通过统计分析发现，VVC，BV 和TV 患者年龄以21 ～ 30 岁为主，在夏秋季时VVC，BV 患病率高于其他季节，而TV 的患病率在夏季相对较高。另外，在101 995 例阴道微生态失衡的女性患者中，有27 552 例单纯性阴道炎患者（27.01%）和1 443 例混合性阴道炎患者（1.42%）。在混合性阴道炎患者中，BV+VVC 组合占了绝大多数（79.00%），年龄段主要在21 ～ 40 岁之间。在28 995 例阴道炎患者中，有4 308 例复发患者（14.86%），其中单纯性阴道炎复发率（11.44%，3 152/27 552）远远低于混合性阴道炎复发率（80.11%，1 156/1 443）。结论 西安地区女性单纯性阴道炎类型主要为VVC，在夏秋季患病率较高，混合性阴道炎的类型主要为BV+VVC。与单纯性阴道炎相比，混合感染患者更易复发。
Abstract:
Objective To explore the characteristics of vaginal microecology and vaginitis distribution of female patients in Xi’an, so as to provide reliable reference for clinical treatment. Methods A total of 102 124 women in Shaanxi Provincial People’s Hospital from January 2018 to August 2023 were selected as the research objects. Vaginal secretions were collected from patients, and the vaginal microecology was detected and analyzed. Results Among 102 124 female patients, 99.87% had vaginal microecological imbalance. The main disease types were vulvovaginal candidiasis (VVC), accounting for 16.03%, bacterial vaginitis (BV), accounting for 9.61% and trichomonal vaginitis (TV), accounting for 1.34%. Statistical analysis showed that the age of VVC, BV and TV patients was mainly 21 ～ 30 years old. The prevalence of VVC and BV in summer and autumn was higher than that in other seasons, while the prevalence of TV was relatively high in summer. In addition, there were 27 552 cases of simple vaginitis (26.98%) and 1 443 cases of mixed vaginitis (1.41%) in 101 995 female patients with vaginal microecology imbalance. In patients with mixed vaginitis, the BV+VVC combination accounted for the vast majority (79.00%), and the age group was mainly between 21 and 40 years old. Among the 28 995 patients with vaginitis, 4 308 patients (14.86%) had recurrence, and the recurrence rate of simple vaginitis (11.44%, 3 152/27 552) was much lower than that of mixed vaginitis (80.11%, 1 156/1 443). Conclusion The main type of female simple vaginitis in Xi’an is VVC, which has a high prevalence in summer and autumn. The main type of mixed vaginitis is BV+VVC, Compared with simple vaginitis, patients with mixed infection are more likely to relapse.

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备注/Memo

备注/Memo:
基金项目：陕西省重点研发项目（2024SF-YBXM-110）。
作者简介：关佳灏（1993-），女，硕士，主治医师，医学检验中心，研究方向：临床检验诊断学，E-mail:2108173348@qq.com。
通讯作者：张利侠（1970-），女，博士，主任技师，医学检验中心，E-mail:2541871021@qq.com。
更新日期/Last Update: 2024-11-15