吸烟与细菌性阴道病关系的研究

目的:探讨吸烟与细菌性阴道病(BV)的关系。方法:对某医院妇产科门诊接受计划生育服务的育龄妇女非选择性地进行BV筛检。以筛检出的BV患者267例为病例组,其余478例未患BV且无BV史的妇女为对照组进行病例对照研究。结果:BV患者中吸烟者占8.99%(24/267),对照组中吸烟者占2.93%(14/478)。单因素非条件Logistic回归分析显示,吸烟与BV有统计学关联(OR=3.273,95%CI:1.663～6.442,P=0.001);经婚姻状况、性卫生、性行为习惯调整后,吸烟与BV之间的正关联仍有统计学意义(OR=3.425,95%CI:1.660～7.066)。结论:吸烟可以增加BV发生的危险,吸烟是BV独立的危险因素。控烟是预防BV发生的重要措施。

Study on Relationship Between Cigarette Smoking and Bacterial Vaginosis.

Objective:To investigate if there is an association between cigarette smoking and bacterial vaginosis (BV).Methods:An unselected screening for BV was conducted among women at childbearing age accepting family planning services at two hospitals in Chengde city.A case-control study was conducted based on it.In which 267 patients with BV, 478 women without BV and BV history as controls were interviewed.Results:Of the women with BV, 9.0% were smokers versus 2.9% in the control group. Univariate non-conditional logistic regression model analysis showed that cigarette smoking was significantly associated with BV.Odds ratio (OR) for smokers was 3.273 (95% confidence interval (CI)1.663~6.442,P=0.001). After adjustment for marital status ,sexual sanitation and behaviors, the positive association between cigarette smoking and BV was still significantly,OR=3.425 (95%CI:1.660~7.066).Conclusion:Smokers are liable to bacterial vaginosis, and cigarette smoking is an independent risk factor of BV. Smoking control might have some preventive impact on the incidence of BV.