本文選題：需氧菌性陰道炎　切入點：診斷　出處：《山西醫(yī)科大學》2017年碩士論文

【摘要】：目的:通過對需氧菌性陰道炎(aerobic vaginitis,AV)診斷方法及影響因素的探究,比較不同診斷方法的檢出結(jié)果、明確高危因素及保護因素,從而提高臨床醫(yī)生對需氧菌陰道炎的認知,加強診斷能力、規(guī)避危險因素,降低感染情況的發(fā)生,提高女性的生活品質(zhì)。方法:收集2016年4月—12月在山西醫(yī)科大學附屬第一醫(yī)院婦科住院的患者,術(shù)前常規(guī)行陰道分泌物檢查共934例,篩除與本實驗無關的陰道炎疾病528例,剩余406例樣本分別采用Donders濕片法和五項酶聯(lián)合試劑盒對需氧菌性陰道感染做出診斷。根據(jù)實驗室結(jié)果,對試劑盒法診斷出的無異常發(fā)現(xiàn)和單一需氧菌陰道炎患者進行調(diào)查,內(nèi)容包括年齡、學歷、個人衛(wèi)生習慣、性生活習慣等方面,同時就影響AV的危險因素與臨床癥狀進行相關性分析。結(jié)果:1.采用Donders濕片法診斷為單一需氧菌性陰道炎患者共198例,采用五項酶聯(lián)合試劑盒診斷為單一需氧菌性陰道炎212例。通過SPSS17.0統(tǒng)計學軟件分析,兩種方法對于檢出單一需氧菌性陰道炎方面不存在差異,差別無統(tǒng)計學意義(P=0.065,P0.05),在檢出AV方面較為一致,Kappa=0.754。2.50歲以上女性(OR 4.896,95%CI 2.452 9.777),長期使用護墊(OR 4.389,95%CI2.277-8.459),頻繁的陰道沖洗習慣(OR 1.727,95%CI 1.049-2.845)是AV的獨立危險因素。3.大專學歷以上(OR 0.594,95%CI 0.370 0.954),單獨清洗內(nèi)衣褲(OR 0.126,95%CI 0.059-0.267)是AV的獨立保護因素。4.AV的危險因素與臨床癥狀嚴重程度有顯著相關性,呈正相關(r=0.608,P0.001)。結(jié)論:1.兩種診斷方法對于需氧菌性陰道炎的診斷基本一致,可根據(jù)需要選擇合適的方法進行診斷。2.在婦科住院的患者中,50歲以上、頻繁的陰道沖洗以及長期使用護墊人群更容易發(fā)生需氧菌性陰道炎。3.影響AV的危險因素越多,其臨床癥狀可能越嚴重,應盡可能規(guī)避危險因素,建立優(yōu)質(zhì)生活。
[Abstract]:Objective: to investigate the diagnostic methods and influencing factors of Aerobic vaginitis vaginitis (AVV), compare the results of different diagnostic methods, and identify the high risk factors and protective factors, so as to improve the clinicians' understanding of aerobic vaginitis. To strengthen diagnostic ability, avoid risk factors, reduce the incidence of infection, and improve the quality of life of women. Methods: the patients hospitalized in the first affiliated Hospital of Shanxi Medical University from April to December 2016 were collected. A total of 934 cases of vaginal discharge were examined before operation, 528 cases of vaginitis which were not related to this experiment were screened out. The remaining 406 samples were diagnosed by Donders wet sheet method and five enzyme kit respectively. According to the laboratory results, we investigated the patients with no abnormal detection and single aerobic vaginitis diagnosed by the kit method. The contents include age, educational background, personal hygiene habits, sexual habits and so on. At the same time, the risk factors affecting AV and clinical symptoms were analyzed. Results: 1. A total of 198 patients with single aerobic vaginitis were diagnosed by Donders wet film method. 212 cases of single aerobic vaginitis were diagnosed by five enzyme kits. There was no difference between the two methods in the detection of single aerobic vaginitis by SPSS17.0 software. There was no significant difference in AV detection. The odds ratio (OR 4.89695) of CI 2.452 was 4.89695% for women over 0.754.2.50 years old, OR 4.389C95 CI2.277-8.459 for long-term use, frequent vaginal washing habit OR 1.72795CI 1.049-2.845) was the independent risk factor of AV. The odds ratio (OR 0.59495 CI 0.370 0.954) of AV was higher than that of junior college degree (OR 0.59495 CI 0.370 0.954), and the risk factor of AV was 1.72795CI 1.049-2.845 (OR = 0.59495 CI 0.370 0.954), and the risk factor of AV was 1.72795CI 1.049-2.845. OR 0.126 / 95 CI 0.059-0.267) is an independent protective factor of AV. 4. The risk factors of AV are significantly correlated with the severity of clinical symptoms. Conclusion [WT5HZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] the two diagnostic methods are basically the same in the diagnosis of aerobic vaginitis, and the appropriate methods can be selected for diagnosis according to the need. The more risk factors affecting AV, the more serious the clinical symptoms may be. It is necessary to avoid risk factors as much as possible and establish a good quality of life.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R711.31

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本文編號：1653450