【摘要】 目的比较妇科门诊育龄妇女与孕妇的阴道菌群状态及常规感染,分析阴道菌群改变对阴道常规感染影响。方法用革兰染色法分别检查普通育龄妇女和孕妇的阴道分泌物,并进行Nugent评分。结果妇科门诊育龄妇女和孕妇的假丝酵母菌阳性率分别为28.6%和9.2%,滴虫阳性率分别为2.4%和0.6%;细菌性阴道病(BV)阳性率分别为32.4%和9.6%;乳杆菌3+到4+的比例分别为74.4%和44.8%。2组之间比较差异均有显著性(P<0.05)。结论相对于妇科门诊育龄妇女而言,孕妇的阴道微生态状况更健康,对各种病原微生物有更强的抵抗力,受假丝酵母菌、滴虫和细菌性阴道病等常规疾病感染的机会明显降低。更多还原

【Abstract】 Objective To analyze the influence of the change of vaginal flora on common viginal infection.Method Vulvovaginal secretions from gynecology outpatient department were examed with gram staining and Nugent Score System.Result The positive rates of vulvovaginal candidiasis were 28.6% in women of childbearing age and 9.2% in pregrant women.The positive rates of Trichomonas vaginalis were 2.4% in women of childbearing age and 0.6% in pregrant women.The positive rates of Bactorial vaginosis were 32.4% and 9.6%,and of Lactobacillus 3+ ~4+,74.4% and 44.8% in women of child bearing age and pregrant women respectively.There significant difference between the two groups(P<0.05).Conclusion The endovaginal microecological status of pregrant women was better than women of childbearing age.The latter could be more easily infected by common pathogens such as candidiasis,trichomonas and bactorial vaginosis.更多还原