绝经妇女与未绝经妇女阴道炎患者病原学检测对比分析

目的 探讨本地区女性阴道炎患者阴道分泌物病原体的感染状况及临床意义.方法 将妇科门诊就诊的阴道炎患者分为绝经组和未绝经组,分别采集其阴道分泌物,以生理盐水涂片法对绝经与未绝经妇女进行滴虫和假丝酵母菌的检测,唾液酸酶法进行细菌性阴道病的快速检测.结果 ①未绝经组滴虫、假丝酵母菌和细菌性阴道病的总阳性检出性率为46.7%;绝经组三者的总阳性检出性率为32.2%,二组阳性检出率的差别有统计学意义（х2=42.65,P〈 0.01）.②未绝经组滴虫、假丝酵母菌和细菌性阴道病的阳性检出率分别为2.0%、27.0%和28.2%;绝经组三者对应的阳性检出率分别为4.4%、15.3%和18.0%;两组滴虫、假丝酵母菌和细菌性阴道病的检出率差别均有统计学意义（х2=13.99,х2=35.99,х2=25.97,P均〈0.01）.结论 本地区女性阴道炎患者假丝酵母菌和细菌性阴道病的检出率较高,与绝经女性相比,未绝经女性更容易发生假丝酵母菌的感染和细菌性阴道病.

Pathogenic bacteria detection and contrast analysis in vaginitis patients between mensens and menopause

Objective To investigate the status of pathogen infection and clinical significance in famale vaginitis patients, vaginal secretion in local area. Methods The gynecologic outpatient vaginitis patients, divided into mensens group and menopause group, use normal saline smear method to detect trichomonas and Candida mycoderma bacteria, rapid detection of Bacterial Vaginosis using the method of sialidase. Resuits （1）In mensens group, the positive rate of trichomonas, Candida mycoderma bacteria and Bacterial Vaginosis is 46.7%, in menopause group, the positive rate is 32.2%, the difference of positive rate in two groups has statistical significance （ x^2 = 42.65, P 〈 0.0I ）. （2） In mensens group,the positive rate of trichomonas, Candida mycoderma bacteria and Bacterial Vaginosis is 2.0%, 27.0% and 28.2%;in menopause group, the positive rate is 4.4%, 15.3 % and 18.0 % ;in two groups, the difference of positive rates with trichomonas, Candida mycoderma bacteria and Bacterial Vaginosis have statistical signifieance（x^2 = 13.99,x^2 = 35.99,x^2= 25.97,all P 〈 0.01） .Conclusions The detection rates of Candida myeoderma bacteria and Bacterial Vaginosis are higher in vaginitis patients in local area. Compared witt, the menopause group, the mensens group is easy to infect the Candida mycoderma bacteria and Bacterial Vaginosis.