女性STD患者复发性外阴阴道念珠菌病复发原因探讨

目的探讨女性STD患者复发性外阴阴道念珠菌病(RVVC)的复发原因及与STD的相关性。方法对130例RVVC患者进行问卷调查并进行性病检查,对350例女性STD患者只进行性病检查。结果RVVC复发因素在多个性伴侣、性生活较频、患病后未禁止性生活、合并其他STD、长期使用抗生素等因素中所占比例较高;各种性病阴道念珠菌检出率以尖锐湿疣最高(72.31%),滴虫病、细菌性阴道病最低(26.53%、19.05%)。两组阴道念珠菌培养,主要分离出白念珠菌(75.38%,81.55%),非白念珠菌有上升趋势,分别为26.15%和16.67%,两组比较有显著性差异(P<0.05)。结论性传播是RVVC复发的重要因素。RVVC与STD具有明显相关性,故在RVVC确诊之前必须常规作性病检查,以免漏诊。

Research on the recurrent factors of female STD patients with recurrent vulvovaginal candidiasis

Objective:To discuss the recurrent factors of female patients with RVVC and the correlation with STD. Methods: 130 RVVC patients were surveyed according to a uniform questionnaire designed for this study and were examined tor STD ;only STD examinations were performed for 350 female STD patients. Results: Multiple sexual partners,frequent sexual intercourse,sexual intercourse after diseases,having other STD and long term using antibiotics are main recurrent factors of RVVC;in the detectable rate of vulvovaginal candidiasis of various STD,condyloma acuminatum was the highest (72.31%),trichomoniasis(26.53%) and bacterial vaginosis(19.05%) were the lowest.in two groups of vaginal candidiasis ,Candida albicans was isolated (75.36%,81.55%),non-Candida albicans showed rising tendency(26.15%,16.67%).There was significant difference between the two groups(P<0.05). Conclusion: Sexual transmission is a key factor for recurrence of RVVC.RVVC is closely correlted with STD .Thus routine STD examinations should be done before RVVC diagnosis.