發(fā)布時(shí)間：2018-03-23 12:26

  本文選題：需氧菌性陰道炎　切入點(diǎn)：診斷　出處：《山西醫(yī)科大學(xué)》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(hù)因素,從而提高臨床醫(yī)生對需氧菌陰道炎的認(rèn)知,加強(qiáng)診斷能力、規(guī)避危險(xiǎn)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(xué)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(shí)驗(yàn)無關(guān)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(xiàng)酶聯(lián)合試劑盒對需氧菌性陰道感染做出診斷。根據(jù)實(shí)驗(yàn)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(jìn)行調(diào)查,內(nèi)容包括年齡、學(xué)歷、個(gè)人衛(wèi)生習(xí)慣、性生活習(xí)慣等方面,同時(shí)就影響AV的危險(xiǎn)因素與臨床癥狀進(jìn)行相關(guān)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(xiàng)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(jì)學(xué)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(jì)學(xué)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(hù)墊(OR 4.389,95%CI2.277-8.459),頻繁的陰道沖洗習(xí)慣(OR 1.727,95%CI 1.049-2.845)是AV的獨(dú)立危險(xiǎn)因素。3.大專學(xué)歷以上(OR 0.594,95%CI 0.370 0.954),單獨(dú)清洗內(nèi)衣褲(OR 0.126,95%CI 0.059-0.267)是AV的獨(dú)立保護(hù)因素。4.AV的危險(xiǎn)因素與臨床癥狀嚴(yán)重程度有顯著相關(guān)性,呈正相關(guān)(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(jìn)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(hù)墊人群更容易發(fā)生需氧菌性陰道炎。3.影響AV的危險(xiǎn)因素越多,其臨床癥狀可能越嚴(yán)重,應(yīng)盡可能規(guī)避危險(xiǎn)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(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R711.31

【參考文獻(xiàn)】

相關(guān)期刊論文 前4條

1 陳磊;劉耘;董翰宇;劉朝暉;;陰道炎快速診斷試劑盒的臨床應(yīng)用研究[J];中國性科學(xué);2016年01期

2 陳萍;洪開聽;陳芬;沈小文;;需氧菌陰道炎/細(xì)菌性陰道病聯(lián)合測定技術(shù)診斷需氧菌性陰道炎的臨床價(jià)值[J];中國微生態(tài)學(xué)雜志;2013年11期

3 周朝陽;蔡東飛;單東紅;;需氧菌陰道炎快速診斷的一種新方法[J];中國微生態(tài)學(xué)雜志;2011年06期

4 范愛萍;薛鳳霞;;需氧菌性陰道炎及其混合感染的臨床特征分析[J];中華婦產(chǎn)科雜志;2010年12期

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