1002例女职工妇科普查结果分析

目的：为普查女职工的妇科疾病及预防和早期发现宫颈癌进行本项工作,方法：通过普查的方式对成都木综厂的全体已婚女职工进行 妇科检查、阴道清洁度、白带查滴虫、霉菌、宫颈细胞学检查,结果：阴道滴虫的患病率平均为2％,阴道霉菌的平均感染率为10．65,宫颈糜烂的平均患病率为32．75,霉菌性阴道炎及宫颈糜烂患病率随年龄的增加而逐渐下降。宫颈细胞学检查巴氏Ⅲ以上者患者率为0．4％（4例）。结论：宫颈糜烂、霉菌性阴道炎及滴虫性阴道炎是妇女最常见的3种炎症,前2种炎症的患病率随年龄的增加而逐渐下降。     

精液对阴道分泌物6项生化指标的影响

目的探讨精液对阴道分泌物生化指标的影响。方法将适量精液分别与过氧化氢、白细胞酯酶、唾液酸苷酶、脯氨酸氨基肽酶、乙酰氨基葡萄糖苷酶5项全为阴性的正常阴道分泌物或5项全为阳性的异常阴道分泌物混匀后进行生化检测,观察精液对反应结果的影响。结果正常阴道分泌物混有精液后pH明显升高,过氧化氢、白细胞酯酶、乙酰氨基葡萄糖苷酶出现假阳性;酶反应阳性的阴道分泌物混有精液后各生化指标未受影响。结论精液能使阴道分泌物pH升高,部分生化指标出现假阳性。进行阴道分泌物生化指标检测采样时必须避免精液污染。     

Prevalence of clinical vaginal candidiasis in a university hospital and possible risk factors

OBJECTIVE: The aim of this study was to evaluate the prevalence of symptomatic vaginal candidiasis and probable predisposing factors in a university-based hospital. STUDY DESIGN: A total of 576 cases of clinical vaginal candidiasis were enrolled in this survey and wet mount preparations, Gram-stained smears and vaginal cultures were assessed. Possible risk factors, such as pregnancy, diabetes mellitus, contraceptive and antibiotic use were evaluated. RESULTS: Clinical vaginal candidiasis was detected in 12.1% of the cases. Candida albicans was isolated in 80.2% of patients and non-albicans species in 19.8%. Pruritus was the most common symptom (85.9%), followed by vaginal discharge (66.1%), soreness (31.1%) and dyspareunia (5.0%). Reproductive age, pregnancy, diabetes, contraception as well as recent antibiotic use correlated positively with both C. albicans and non-albicans isolates. Soreness and dyspareunia were significantly related to non-albicans species. The overall recurrence rate was 8.5%. Recurrences correlated positively to non-albicans infections. CONCLUSIONS: C. albicans was, by far, the predominant yeast isolate. Non-albicans isolates caused significantly more frequent soreness, dyspareunia and recurrences than C. albicans. Clinical and laboratory findings, together with possible predisposing factors must be taken into consideration in order to achieve appropriate treatment.     

臭氧灌洗疗法治疗阴道炎效果分析

目的:探讨阴道臭氧灌洗疗法应用于妇科阴道炎的治疗效果。方法:选取我院收治的,90例阴道炎患者,随机分为观察组以及对照组,每组45例,对照组给予单纯药物治疗,观察组在此基础上给予臭氧灌洗治疗,比较两组患者的治疗有效率、治疗后阴道清洁度、p H值变化以及乳酸菌、病原菌检出情况。结果:观察组的治疗有效率为95.56%(43/45),对照组为75.56%(34/45),组间比较差异有统计学意义,χ2=7.283,P0.05。治疗后两组p H值均较治疗前明显下降,且治疗后观察组明显低于对照组,组间比较差异有统计学意义,P0.05。治疗后两组乳酸菌检出率均明显高于治疗前,且治疗后观察组检出率明显高于对照组,组间比较有统计学差异,P0.05。结论:臭氧灌洗治疗妇科门诊阴道炎患者可以提高治疗效果,改善阴道内环境,值得临床推广应用。     

Prevention and treatment of vulvovaginal candidiasis using exogenous Lactobacillus

OBJECTIVE: To review literature examining exogenous Lactobacillus therapy for vulvovaginal candidiasis and to discuss recommendations for clinical practice and future research. DATA SOURCES: Computerized searches on MEDLINE and CINAHL November 2000, September 2001, and March 2002, with search terms including Lactobacillus, acidophilus, Candida, and yeast infections. STUDY SELECTION: Relevant English-language articles from the past 10 years. Unique or seminal studies included where pertinent. DATA EXTRACTION AND SYNTHESIS: Data organized under the following headings: endogenous Lactobacillus, exogenous Lactobacillus, Candida, studies of intravaginal Lactobacillus therapy for vulvovaginal candidiasis, studies of oral Lactobacillus therapy for vulvovaginal candidiasis. CONCLUSIONS: Vaginally administered or orally ingested Lactobacillus is able to colonize the vaginal ecosystem. Controlled intervention studies regarding the effect of such colonization on vulvovaginal candidiasis are promising but few. These studies had small numbers of participants, were inconsistent in the form of Lactobacillus used, and reported conflicting results. Further randomized controlled trials involving large numbers of women are imperative. In the meantime, health care providers should discuss potential benefits with affected patients while clarifying the current lack of conclusive evidence. Without further research into currently available sources and brands of Lactobacillus and without governmental regulation of supplements and their contents, however, it is difficult to make recommendations regarding appropriate product choice.     

门诊妇科阴道炎护理健康教育干预观察

目的探讨健康教育护理干预对妇科阴道炎的影响。方法选择我院妇科门诊2011年3月～2011年6月确诊并接受治疗的阴道炎且自愿参加实验的患者共120例,将其随机分为常规护理组与健康教育组,对健康教育组实施健康教育干预,对常规护理组实施常规护理。疗程14 d,观察两组治疗效果及病例健康行为的接受情况,并进行比较。结果通过健康教育护理干预,健康教育组的治愈率明显高于常规护理组,差异有统计学意义(P<0.05),而且健康行为接受情况也较常规护理组好很多,差异有统计学意义(P<0.05)。结论阴道炎在临床女性疾病中发病率最高,通过实施健康教育,其治愈率显著提高,且患者对健康教育的接受程度也有所提高,值得在临床上予以推广应用。     

70例儿童淋病分析

通过对７０例儿童淋菌性尿道，阴道炎临床资料分析，提出儿童淋病发病有增加的趋势；传染源多来自家庭；夏秋季发病较多，妇女易感，意在呼呈普及性病知识，减少儿童的性病感染率，搞好儿童性病的治疗与监测。     

妇科门诊阴道炎病原体分布及其影响因素分析

目的探讨妇科门诊阴道炎病原体分布及其影响因素。方法对2010年3月～2012年12月在我院妇科门诊就诊的患者257例进行阴道分泌物检查．并分析相关影响因素。结果病原菌检测结果显示,阴道细菌检出率最高,清洁度I～Ⅱ级明显低于Ⅲ、Ⅳ级;20～49岁组及〈20岁组总的阴道炎、外阴阴道假丝酵母菌病和细菌性阴道病的检出率明显高于≥50岁组（P〈0．05）。在四季中,检出率最高的是外阴阴道假丝酵母菌病（秋冬季检出率明显高于春夏季）,而最低的是滴虫阴道炎。结论妇科门诊患者的阴道感染病菌较重,与季节及年龄等因素有关。     

南方沿海地区念珠菌性阴道炎感染分析

目的探讨近两年南方高热高湿沿海地区念珠菌性阴道炎群体在不同季节、年龄、月经周期的发病情况以及治疗后稳定趋势状况。方法对妇科门诊就诊的8 099例阴道炎患者进行念珠菌检测,采用生理盐水涂片法和革兰染色及念珠菌培养。结果南方高热高湿沿海地区念珠菌性阴道炎发病率为24.694%（2000/8 099）;育龄妇女患病率高于其他年龄段,差异有统计学意义（χ2=58.81,P〈0.01）;夏、秋比冬、春季节患病率高,差异有统计学意义（χ2=32.39,P〈0.01）;月经后1周患病率高于其它时期,差异有统计学意义（χ2=4.67,P〈0.05）;治疗后,阳性率随末次用药时间的延长而逐渐下降（趋势χ2=47.78,P〈0.01）。结论南方高热高湿沿海地区念珠菌性阴道炎的感染率有所上升;与生育年龄呈正相关;夏、秋季节念珠菌性阴道炎的感染率高;月经后1周,念珠菌的阳性率最高,应重点预防。复查应选停药5 d后,因其结果趋于稳定     

3208名已婚女性妇科普查回顾分析

目的：探讨3208名已婚女性妇科常见病的主要病种,以期指导降低女性常见病、多发病患病率,提高治愈率,改善女性生活质量。方法：对2007年在我单位妇科普查的3208名女性的结果进行分析,并用统计学方法探讨常见疾病与年龄的关系。结果：3208名女性常见妇科疾病前四位分别为：慢性宫颈炎、子宫肌瘤、阴道炎和卵巢囊肿。不同年龄组的慢性宫颈炎和子宫肌瘤患病率存在显著统计学差异（P〈0.01）;TCT结果中,鳞状上皮细胞异常者占3.7%,5例癌前病变,经过治疗均恢复正常。结论：降低女性妇科常见病患病率,一定要做到早预防、早诊断、早治疗,要尽量做到群防群治,努力开展女性妇科疾病的普及教育工作,改善女性工作和生活环境,以提高其健康水平。