需氧菌性阴道炎、细菌性阴道病五项联合检测在阴道微生态评价中的应用价值

目的:探讨需氧菌性阴道炎(AV)、细菌性阴道病(BV)五项联合检测在阴道微生态评价中的应用价值.方法:选取2012年12月至2015年1月接受健康体检的女性110例,采用传统方法对受检女性的阴道分泌物进行阴道pH、革兰染色及清洁度检查,并作阴道菌群分析;同时采用AV、BV五项联合检测进行测定.结果:110例受检者中传统方法检测阴道菌群正常42例(38.18%),阴道菌群异常68例(61.82%);阴道菌群异常的预成酶阳性率(除凝固酶外)均高于阴道菌群正常的预成酶阳性率(P<0.05~P<0.01).结论:AV、BV五项联合检测方法安全可靠,操作简单,其检测灵敏度高,结果较为准确,可作为临床快速筛查方法,更有效地评价阴道微生态情况.

Application value of the five-item detection of aerobic vaginitis/bacterial vaginosis in the evaluation of vaginal microflora

Objective:To investigate the application value of the five-item detection of aerobic vaginitis/bacterial vaginosis(AV/BV) in the evaluation of vaginal microflora.Methods:One hundred and ten healthy examination women were investigated from December 2012 to January 2015.The vaginal pH,Gram staining and cleanliness in all cases were detected using conventional methods,which was used to analyze the vaginal flora.The five-item detection of AV/BV was implemented.Results:The normal vaginal flora in 42 cases(38.18%) and abnormal vaginal flora in 68 cases(61.82%) were identified.The preformed enzyme positive rate in female cases with abnormal vaginal flora was significantly higher than that in female cases with normal vaginal flora(P<0.05 to P<0.01).Conclusions:The five-item detection of AV/BV is simple,safe,reliable,accurate and high sensitive,which can be used as a rapid screening method in clinic,and be more effective to evaluate the vaginal microflora.