多种病原体交叉感染所致阴道炎病因分析及临床意义

目的 探讨阴道炎多种病原体交叉感染的原因，了解各病之间交叉感染的程度及临床意义。方法 以盐水涂片法直接镜检念珠菌和阴道滴虫，以唾液酸酶法检测细菌性阴道病（BV）。结果 在被检人群中BV、念珠菌、滴虫阳性率分别为29．33％（220／750）、9．73％（73／750）、2．0％（15／750）。BV交叉感染念珠菌厦滴虫阳性率分别为7．27％（16／220）、5．91％（13／220）。在念珠菌性和滴虫性阴道炎中，BV阳性率分别为21．92％（16／73）、86．67％（13／15）。结论 在妇科感染性疾病中，BV阳性率最高，并且和念珠菌、滴虫相互交叉感染现象非常严重。所以对白带检查时，最好同时进行多种病原体测定。对临床诊断治疗具有重大意义。

Clinical analysis causes of vaginitis due to cross infections

Objective To explore the causes of cross infection by several kinds of pathogens in vaginitis patients and its signifi- cance.Methods Candida and vaginal Trichomonad were detected with microscope directly on Nacl-solution smears.Bacterial vaginosis (BV) was detected with the sialidase determination.Results The positive rate of BV,vaginal candidiasis and tri- chomonas vaginitis were 29,33%(220/750) ,9.73% (73/750) and 2.0%(15/750),respectively.The cross infection rates of can- dida and vaginal trichomonad in BV patients were respectively 7.27%(16/220) and 5.91% (13/220).The positive rate of BV among the vaginal candidiasis and Trichomonad vaginitis patients were 21.92%(16/73)and 86.67% (13/15),respectively.Conclusion Cross infection were serious in gynaecologic infections and multiple pathogens detection is of important significance for clinical diag- nosis and treatment.