放置IUD妇女阴道微生态状况调查分析

目的了解深圳市放置IUD妇女阴道微生态状况与年龄、居住类型、孕产史和个人生活习惯的关系。方法对前来中心就诊要求放置IUD609名已婚育龄妇女采用问卷调查、病史询问、妇科检查及阴道微生态检查，将被检者进行分类比较。结果①阴道微生态失调较高占26.1％（159／609），经常规检查进行上环术的受术者，尚有22．2％（124／558）阴道微生态失调；②随着年龄的增长，阴道微生态失调率随之增高，P〈0．05；③与受教育程度相比，小学及以下文化程度的妇女诊断出微生态失调的可能性更高（42．8％）；④微生态失调与阴道分娩次数也成呈正相关关系；⑤与非经期使用卫生护垫和阴道冲洗（间隔大于一周）等个人生活习惯，P=0．111，差异无统计学意义。结论已婚育龄妇女阴道微生态变化受年龄、教育程度及分娩方式的影响。

Investigation on the microecological status of the vagina IUD insertion

Objective To investigate microecological status of the vagina of women who volunteer to receive IUD insertion, and to study the influence of age, residence type, maternal history and individual life habits on vaginal microecology. Methods 609 married women of reproductive age who volunteer to receive IUD insertion in our center were comparatively analyzed through questionnaire, medical history, gynecological and vaginal microecology examination. Results The rate of the vaginal microecology disorders is quite high, accounting for 26.1%. For women received IUD insertion, the rate was 22.2%. The rate of vaginal microecology disorders increased as the growth of age, with P<0.05. Women with no more primary school degree had higher risk of microecology disorders (42.8%). The ecological disorders and numbers of vaginal delivery are positively correlated. No correlation was found between vaginal microecology and individual life habits such as using health pads without menstrual period and vagina washing (more than a week) (P=0.111). Conclusion The conditions of vaginal microecology of married women of reproductive age are influenced by age, education degree and the way of delivery.