摘要
目的了解蒙古族已婚妇女阴道感染念珠菌和滴虫状况及相关危险因素,为预防此病提供科学依据。方法收集2014年8月-2015年7月内蒙古医科大学附属医院生殖中心2 987例蒙古族患者的临床资料,采集患者阴道分泌物,显微镜下检查到念珠菌孢子或假菌丝确诊念珠菌感染,悬滴法镜检确诊滴虫感染。采用SPSS19.0对数据进行统计和分析。结果 2 987例研究对象中,细菌性阴道炎患者347例,检出率11.62%;念珠菌性阴道炎患者275例,检出率9.21%;滴虫性阴道炎有204例,检出率6.83%;其他类型阴道感染193例,检出率6.46%。不同文化程度、年龄、婚龄、结婚年限和产次蒙古族妇女阴道念珠菌感染率差异均有统计学意义(χ~2=31.77,24.39,12.97,24.35和13.08,P均<0.05),不同孕次人群念珠菌感染率差异无统计学意义(χ~2=0.6442,P>0.05)。不同年龄、婚龄、结婚年限、文化程度、孕次和产次蒙古族妇女阴道滴虫感染率差异均有统计学意义(χ~2=23.04,15.18,25.30,28.65,28.05和27.32,P均<0.05)。多因素Logistic回归分析显示,阴道念珠菌感染与文化程度、年龄和孕次有关,其中,年龄高是其保护因素,孕次和文化程度是危险因素。阴道滴虫感染与婚龄、孕次和产次有关,其中年龄高是其保护因素,孕次和产次是危险因素。结论蒙古族已婚妇女阴道念珠菌和滴虫感染率较高,与年龄、文化程度、孕产次等因素有关,应针对危险因素采取有效防控措施。
Objective To ascertain the prevalence of and factors influencing vaginal candidiasis and trichomoniasis a- mong married Mongolian women and to provide a scientific basis for the prevention and treatment of these infections. Methods Subjects were 2,987 Mongolian patients who were seen by the Reproductive Center at Inner Mongolia Medical University Hospital from Aug. 2014 to Jul. 2015. Vaginal secretions were collected and microscopically analyzed for Candida albicans and Trichomonas vaginalis. The software SPSS 17.0 was used to compile and analyze data. Results Of 2,987 married women, 347 had vaginal candidiasis （an incidence of 9.21%） while 204 had vaginal trichomoniasis （an incidence of 6.83 %）. Results of univariate analysis indicated that vaginal candidiasis was significantly associated with education （χ2 =31.77, P〈0.05）, age （χ2=24.39, P〈0.05）, age of marriage （χ2 =15.18, P〈0.05）, years of mar- riage （χ2 = 24.35, P〈0.05）, and parity （χ2 = 13.08, P〈0.05）. Married Mongolian women with vaginal trichomoniasis did not differ significantly in terms of age （χ2 =23.04, P〈0.05）, age of marriage （;（2 =15.18, P〈0.05）, years of mar- riage （χ2 =25.30, P〈0. 05）, education （χ2 =28.65, P〈0.05）, pregnancies （χ2=28.05, P〈0.05）, or parity （χ2=27.32, P〈0.05）. Multivariate logistic regression analysis indicated that vaginal candidiasis was associated with age, ed ucation and pregnancies while vaginal trichomoniasis was associated with age, education, pregnancies, and parity . Con- clusion Vaginal candidiasis and trichomoniasis were highly prevalent among rural married Mongolian women, and multi- ple factors were associated with the prevalence of those infections. Comprehensive measures should be taken to reduce the prevalence of those diseases.
出处
《中国病原生物学杂志》
CSCD
北大核心
2017年第7期663-665,670,共4页
Journal of Pathogen Biology
关键词
已婚妇女
蒙古族
念珠菌
滴虫
感染
影响因素
Married women
Mongolian
Candida
Trichomonas
infection
influencing factors
