城市已婚妇女细菌性阴道病患病率及影响因素

目的：了解已婚妇女细菌性阴道病的患病情况及相关影响因素。方法：在15个省(市)对9 951例已婚妇女进行有关细菌性阴道病的妇科检查、实验室检查及问卷调查。结果：调查地区已婚妇女的细菌性阴道病患病率为5．3％(531／9951)。已婚妇女患细菌性阴道病的影响因素为年龄轻、无业人员和服务行业人员、家庭经济收入偏低、使用宫内节育器及有人工流产史。患有细菌性阴道病的妇女中，伴有滴虫性阴道炎、生殖道沙眼衣原体感染、慢性宫颈炎和盆腔炎的患病率分别为8．1％、9．8％、36．7％和5．6％，明显高于无细菌性阴道病者2．3％、4．0％、28．8％和4．0％，差异有显著性(P＜0．01，P＜0．05)。结论：城市已婚妇女人群中细菌性阴道病患病率较高，应针对细菌性阴道病的影响因素进行有效的预防和干预，并将细菌性阴道病的防治列入妇产科诊疗常规。

Study on prevalence and influencing factors on bacterial vaginosis in married women in citys

Objective To investigate the prevalence of bacterial vaginosis (BV) among married women in an urban population and to analyze the factors influencing bacterial vaginosis. Methods A total number of 9 951 married women in urban areas from 15 provinces (cities) were investigated through gynecological examination,laboratory tests and questionnaire.Statistical analysis was performed using SPSS/PC 10 0 statistical software. Results The prevalence of bacterial vaginosis in studied population was 5 3 %.Influence factors on women's bacterial vaginosis included younger age,occupational characteristics(unemployed population,service industry),lower family income,IUD and history of artificial abortion.The incidence of trichomoniasis,chlamydia infection,chronic cervicitis and pelvic inflammation were higher in women with BV than in women without BV. Conclusion The prevalence of bacterial vaginosis in married women was high,thus preventive and intervening measures should be conducted according to relevant influence factors.And diagnosis and treatment of BV should be included in obstetrical and gynecological protocol.