摘要
目的调查分析攀枝花市已婚妇女妇科病及生殖道感染情况,为妇科病的临床治疗提供参考。方法选择2014年1月-2016年12月攀枝花市第二人民医院收治的240例患者为观察组,分泌物检测:应用窥阴器扩开观察者阴道,利用无菌棉签擦拭阴道2次后取出,将棉签放入洁净的试管内,滴入生理盐水,最后送检。血检:所有检测者前一天晚上禁食、水,第2天抽取所有观察者空腹静脉血5 ml,将血液高速离心,静置分层,然后取上清液,测定血清中的各项因子指标。最后对数据进行统计分析。结果根据问卷调查,避免不洁性行为、平时注意个人卫生、使用避孕套、知道怀孕需治愈生殖道感染4个方面,观察组掌握的程序均优于对照组(P<0.05)。观察组白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)这3项炎性因子水平明显高于对照组(P<0.01)。观察组共分离病原菌240株,其中革兰阴性菌75株,革兰阳性菌77株,真菌88株。观察组生殖道感染疾病的患病前3位分别是:宫颈糜烂(52例)、细菌性阴道炎(38例)和附件炎(38例)。高学历、高收入职业、居住条件较好的妇女生殖道感染知识掌握情况较好,少数民族农村地区、低学历、低收入或居住条件较差者则感染预防知识掌握较差。结论应加强薄弱群众的教育,临床要增强菌类对药物敏感性的试验,努力提高我国的女性公共卫生预防水平,降低育龄妇女发生生殖道感染的风险。
Objective To investigate and analyze gynecological diseases and reproductive tract infection among married women in Panzhihua City,provide a reference for clinical treatment of gynecological diseases. Methods From January 2014 to December 2016,240 patients treated in the Second People＇s Hospital of Panzhihua City were selected as observation group. Vaginal secretions were detected. Vaginal speculum was used to expand vagina of the patients,sterile swabs were used to scrub vagina for two times,then the swabs were put into clean test tubes,normal saline was dropped into these test tubes,examination was performed. Before blood examination,there was no food for the patients at night,fasting venous blood samples（ 5 ml） of all the patients were obtained on the day of blood examination,then highspeed centrifugation of blood samples was performed,after quiescence and stratification,the supernatant samples were obtained,serum indexes were detected. Finally,the data was analyzed statistically. Results The mastery degrees of avoiding unclean sexual behavior,paying attention to personal hygiene,using condom,and knowing that reproductive tract infection should be cured before pregnancy in observation group were statistically significantly better than those in control group（ P〈0. 05）. The levels of serum interleukin-6（ IL-6）,interleukin-8（ IL-8）,tumor necrosis factor-α（ TNF-α） in observation group were statistically significantly higher than those in control group（ P〈0. 05）. In observation group,240 strains of pathogenic bacteria were isolated,including 75 strains of Gram-negative bacteria,77 strains of Gram-positive bacteria,and 88 strains of fungus. The top three reproductive tract infection diseases in observation group were cervical ectropion（ 52 patients）,bacterial vaginitis（ 38 patients）,and annexitis（ 38 patients）. The mastery degree of reproductive tract infection knowledge was good among the women with high educational level,high income,and good living condition. The mastery
作者
王琦
WANG Qi(Department of Gynecology and Obstetrics,the Second People＇s Hospital of Panzhihua City,Panzhihua,Sichuan 617068,China)
出处
《中国妇幼保健》
CAS
2018年第18期4238-4241,共4页
Maternal and Child Health Care of China
关键词
生殖道感染
公共卫生
病原菌
攀枝花
Reproductive tract
Public health
Pathogenic bacterium
Panzhihua
