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中国女性阴道炎相关病原体的回顾性研究。

Retrospective study of pathogens involved in vaginitis among Chinese women.

机构信息

Department of Reproduction, the Second Affiliated Hospital of Kunming Medical University, No. 374 Dianmian Avenue, Wuhua District, Kunming, 650000, Yunnan, China.

出版信息

BMC Womens Health. 2023 Jul 8;23(1):364. doi: 10.1186/s12905-023-02510-0.

Abstract

BACKGROUND

To explore the pathogen distribution in Chinese females with vaginitis.

METHODS

This retrospective study included Chinese females with vaginitis admitted at the outpatient department of the Gynecology Clinic of the Second Affiliated Hospital of Kunming Medical University between January 2013 and June 2013. Data on the vaginal pathogens and inflammation were analyzed.

RESULTS

The vaginal secretions from 15,601 gynecologic outpatients were abnormal, including 8547 (54.78%) with vaginal infection and 7054 (45.22%) without. In patients with vaginal infections, a single infection was observed in 69.72% (5959/8547) of them, and mixed infection was observed in 30.28% (2588/8547). The differences in age and inflammation grade between the infection and no-infection groups were statistically significant (all P < 0.001). In addition, multiple types of vaginitis could be diagnosed in patients with mixed infections.

CONCLUSIONS

About half of the Chinese women with abnormal vaginal secretions are positive for pathogens in the study period. Patients' age and inflammation grade are associated with co-infection. From the public health perspective, this study suggests that the importance of vaginal hygiene should be enforced in Chinese women.

摘要

背景

探讨中国女性阴道炎的病原体分布。

方法

本回顾性研究纳入了 2013 年 1 月至 6 月期间在昆明医科大学第二附属医院妇科门诊就诊的中国女性阴道炎患者。分析阴道病原体和炎症数据。

结果

15601 例妇科门诊患者的阴道分泌物异常,其中 8547 例(54.78%)存在阴道感染,7054 例(45.22%)无阴道感染。在阴道感染患者中,69.72%(5959/8547)为单一感染,30.28%(2588/8547)为混合感染。感染组与无感染组在年龄和炎症程度方面的差异有统计学意义(均 P < 0.001)。此外,混合感染患者可同时诊断出多种类型的阴道炎。

结论

在所研究的时期内,约一半的阴道分泌物异常的中国女性存在病原体阳性。患者的年龄和炎症程度与混合感染有关。从公共卫生的角度来看,本研究提示应加强中国女性的阴道卫生意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4437/10329346/05fe2c206029/12905_2023_2510_Fig1_HTML.jpg

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