摘要
目的探讨白带常规及细菌性阴道炎(BV)五项检测在妊娠期阴道感染诊断中的应用价值。方法选取2019-06-01-2021-01-31商丘市第一人民医院进行阴道微生态检验的178例妊娠期女性作为研究对象。对所有患者分别进行白带常规湿片镜检以及BV五项检测,对比不同检测方法在阴道微生态评估及感染性疾病诊断中的应用价值。结果对妊娠期女性阴道炎的总检出率结果显示,BV五项检测法检测白细胞增多112例(62.92%),乳酸杆菌阳性59例(33.15%),细菌性阴道炎68例(38.20%),念珠菌23例(12.92%),滴虫17例(9.55%),阴道炎总检率为60.67%,湿片镜检法检测白细胞增多110例(61.80%),乳酸杆菌阳性55例(30.90%),细菌性阴道炎55例(30.90%),念珠菌10例(5.62%),滴虫11例(6.18%),阴道炎总检率为42.70%,2种检测方法比较,差异有统计学意义,Kappa=0.239,P<0.001;对妊娠期女性白带清洁度检测结果显示,BV五项检测法检测Ⅰ度35例(19.66%),Ⅱ度30例(16.85%),Ⅲ度77例(43.26%),Ⅳ度36例(20.22%),镜检法检测Ⅰ度35例(19.66%),Ⅱ度31例(17.42%),Ⅲ度66例(37.08%),Ⅳ度46例(25.84%),2种检测方法比较,差异无统计学意义,Z=-0.552,P=0.581。结论BV五项检测对细菌性阴道炎、念珠菌、阴道滴虫感染的检出效果优于传统白带常规湿片镜检法,可有效提高妊娠期阴道感染性疾病的检出率。
Objective To explore the application value of routine leucorrhea and five tests of bacterial vaginitis(BV)in the diagnosis of vaginal infection during pregnancy.Methods A total of 178 pregnant women who underwent vaginal microecological examination in Shangqiu First People’s Hospital from June 1,2019 to January 31,2021 were selected as the research objects.All patients were examined by routine wet film microscopy examination of leucorrhea and five tests of BV,and the application value of different detection methods in vaginal microecological assessment and diagnosis of infectious diseases was compared.Results The total detection rate of vaginitis in pregnant women showed that,there were 112 cases(62.92%)of leukocytosis,59 cases(33.15%)of Lactobacillus positive,68 cases(38.20%)of bacterial vaginitis,23 cases(12.92%)of Candida,and 17 cases(9.55%)of Trichomonas detected by five tests of BV,the total examination rate of vaginitis was 60.67%.There were 110 cases(61.80%)of leukocytosis,55 cases(30.90%)of Lactobacillus positive,55 cases(30.90%)of bacterial vaginitis,10 cases(5.62%)of Candida and 11 cases(6.18%)of Trichomonas by wet film microscopic examination,the total examination rate of vaginitis was 42.70%.The difference between the two detection methods was statistically significant,Kappa=0.239,P<0.001.The results of leucorrhea cleanliness test in pregnant women showed that,five tests of BV detected 35 cases(19.66%)of gradeⅠ,30 cases(16.85%)of gradeⅡ,77 cases(43.26%)of gradeⅢ,36 cases(20.22%)of gradeⅣ,and microscopic detection method detected 35 cases(19.66%)of gradeⅠ,31 cases(17.42%)of gradeⅡ,66 cases(37.08%)of gradeⅢ,46 cases(25.84%)of gradeⅣ.There was no significant difference between the two detection methods,Z=-0.552,P=0.581.Conclusion The detection effect of five tests of BV on bacterial vaginitis,Candida and Trichomonas vaginalis infection is better than that of traditional leucorrhea routine wet film microscopy,which can effectively improve the detection rate of vaginal infectious diseases
作者
李汶轩
曹影
冯晓昀
LI Wen-xuan;CAO Ying;FENG Xiao-yun(Department of Laboratory Medicine,Shangqiu First People's Hospital,Shangqiu 476000,China)
出处
《社区医学杂志》
CAS
2022年第13期738-741,共4页
Journal Of Community Medicine
关键词
白带常规
细菌性阴道炎五项检测
阴道微生态
妊娠
实验室检查
leucorrhea routine
five tests of bacterial vaginitis
vaginal microecology
pregnancy
laboratory examination
