快速检测卡常规筛查细菌性阴道病的临床应用价值

目的探讨快速检测卡在常规筛查细菌性阴道病（BV）中的临床应用价值。方法对816例患者阴道分泌物标本用快速检测卡进行测试,并与传统Amsel检测法相比较。结果816例患者阴道分泌物BV筛查的阳性率为46.07%,其中20-45岁育龄妇女的阳性率和构成比分别为60.7%和81.12%,46-78岁妇女为22.61%和18.88%。与传统Amsel检测法相比较,其结果差异无统计学意义（P〉0.05）,符合率91.4%,Kappa值0.82。结论本法具有操作简便、反应迅速、特异性强的特点,作为BV筛查的一种常规检测方法,值得临床应用推广。

Clinical applicable value of tacho-detection cards in routine screening of bacterial vaginosis

Objective To assess the clinical applicable value of the tacho-detection cards in routine screening of bacterial vaginosis(BV).Methods Tacho-detection cards were used for detection of 816 vaginal secretions samples,and the results were compared with traditional Amsel method.Results The positive rate for screening of BV was 46.07% among the 816 patients,in which positive rate and constituent radio of the child-bearing aged women ranged from 20 to 45 were 60.7% and 81.12%,and the women ranged from 46 to 78 were 22.61% and 18.88%,respectively.Comparing with traditional Amsel method,there was no difference among them(P>0.05),the coincidence rate of results was 91.4%,and Kappa value was 0.82.Conclusion The method is charactered with convenience,fastness and good specificity.As a routine method to screen BV,it is deserved to be generalized in clinical application.