女性生殖道混合感染的临床诊断及治疗

目的:探讨女性生殖道混合感染的临床特点,为混合性感染的临床诊断及治疗提供帮助。方法:2004年7月~2005年6月在我院妇科门诊和生殖调节门诊就诊的接受6项病原学血检查的并且至少有1项检查结果为阳性的240例患者,按照病原学检查诊断分为单纯感染组和混合感染组,并按一定的方案进行治疗和复查,且询问相关病史,比较两组的有无症状情况、新发和复发感染情况、治疗后转阴情况以及各种混合感染的构成比。结果:单纯感染组临床有无症状情况与混合感染组无显著性差异(P=0.206>0.05);单纯感染各组间临床有无症状情况有显著性差异(P<0.01),以衣原体临床最具隐匿性;混合感染组复发率明显高于单纯感染组(P=0.025<0.05);细菌性阴道病、外阴阴道假丝酵母菌病、支原体感染、衣原体感染以及滴虫性阴道炎混合感染率分别为53.12%、53.85%、70.83%、72%、33.33%,衣原体和其他病原体混合感染率最高。外阴阴道假丝酵母菌、支原体、衣原体以及滴虫均易与细菌性阴道病发生混合感染。结论:临床症状的有无与是否为混合感染无关,而与其病原体的种类有关;混合感染与单纯感染比较具有治疗时间长易复发的特点;细菌性阴道病易于同其他病原体发生混合感染在临床诊断及治疗上应加以重视。

The diagnosis and treatment of reproductive tract mixed infection in women

Objective:To sduty the clinical characteristic of female reproductive tract mixed infection,in order to provide help for clinical diagnosis and therapy.Methods:The 240 patients,who were examined by six pathogens in our gynecological department and reproductive regulation department from July 2004 to June 2005,and at least one of the results was positive,were divided into two groups-the single infection group and the mixed group.Data on the ratio of relapse,the ratio of cure and the constitute of all kinds of mix infection were respectively analyzed by SPSS 11.5.Results:The ratio of the patients with symptom was not significantly different between the two groups.But there was significant difference among the single infection group.Prevalence of BV,VVC,UU,CTand trichomonal vaginitis mixed with other kinds of RTI were respectively 53.12%,53.85%,70.83%,72.00% and 33.33%.VVC,UU,CTand trichomonal vaginitis were all mixed with BV easily.Conclusion:The ratio of the patients with symptom is related with the kind of the infection,but have no relationship with the mixed infection.The mixed infection has the longer period of treatment and more easily relapse than the single infection.The BV is mixed with other kinds of RTI more easily and needs to be paid attention to actively.