细菌性阴道病在女性体检人群中的调查分析

目的了解细菌性阴道病(BV)在女性体检人群中的流行情况。方法用化学反应法对福州地区4 476例来该院体检的妇女进行BV检测,同时用常规方法进行滴虫、真菌检查。结果 4 476份阴道分泌物标本中,检出BV阳性534例,阳性率为11.9%,检出滴虫17例,阳性率为0.4%,检出真菌185例,阳性率为4.1%,其中单纯BV阳性470例(88.0%)、BV阳性合并滴虫12例(2.3%)、BV合并真菌阳性52例(9.7%);按年龄分组,21～30岁组BV阳性率最高,为15.0%,≥61岁组最低,为3.6%,BV阳性检出率在各年龄组之间存在明显差异(∑χ2=24.63,P<0.05)。结论福州地区女性体检人群BV患病率较高,明显高于滴虫及真菌的检出率,且年龄差异明显,因此,建议在女性体检人群中常规开展BV检查,以便及时发现和治疗。

Survey and analysis on bacterial vaginosis in female physical examination population

Objective To understand the epidemic situation of bacterial vaginosis（BV） in female physical examination population.Methods 4 476 women undergoing the physical examinations in our hospital were selected as the research subjects and performed the BV detection by the chemical reaction method.Meanwhile,trichomonal and fungus examinations were taken by the routine method.Results Among 4 476 samples of vaginal secretion,the positive BV was in 534 cases with the positive rate of 11.9%,trichomonal in 17 cases with the positive rate of 0.4% and mycete in 185 cases with the positive rate of 4.1%,respectively.Among them,single BV positive in 470 cases（88.0%）,combination of positive BV and trichomonats in 12 cases（2.3%）,combination of positive BV and fungus in 52 cases（9.7%）.According to the age groups,the positive rate of BV was highest in the 21-30-year-old age group（15.0%） and t lowest in the over 61-year-old age group（3.6%）.The positive detection rate of BV had significant difference among various age groups.Conclusion The prevalence rate of BV among the female physical examination populations in Fuzhou area is higher and significantly higher than that of trichomonal and fungus.Therefore,it is suggested that the routine examination of BV should be carried out among the female physical examination populations in Fuzhou so as to make earlier diagnosis and treatment of BV.