【摘要】 目的了解张家界市武陵源区已婚妇女阴道念珠菌感染状况,并探讨其相关危险因素,为本病的防治提供科学依据。方法 2009年4-8月对武陵源区2 854例已婚妇女进行调查,采用涂片法对其阴道分泌物进行念珠菌检测,并采用χ2检验及Logistic回归模型对已婚妇女阴道念珠菌感染的相关因素进行单因素及多因素分析。结果 2 854例已婚妇女阴道念珠菌感染率为9.32%;年龄(χ2=37.934,P<0.05)、结婚年限(χ2=36.200,P<0.05)、妇产科手术史(χ2=6.851,P<0.05)不同,感染率不同;多因素Logistic回归分析显示,年龄(30～39岁组OR最大,为5.122,CI=2.326～11.278)、有妇产科手术史(OR=1.399,CI=1.039～1.886)为念珠菌感染的危险因素。结论武陵源区已婚妇女阴道念珠菌感染率较高;30～39岁为感染的高危险年龄段;有妇产科手术史也是念珠菌感染的影响因素,应加强妇科手术后妇女的健康促进。更多还原

【Abstract】 Objective To investigate the prevalence of candida infection and explore the risk factors concerned among married women in Wulingyuan District,Zhangjiajie,and to provide a scientific basis for the prevention and cure of vaginal candida infection. Methods There were 2,854 married women from Wulingyuan District involved in this study.We asked them demographic and gynecology questions by questionnaires,and detected their vaginal secretions by smear method to confirm the carriers of candida.According to the results of the tests,the carriers were assigned to infection group and the others were served as the control group.Chisquare test and Logistic regression were used to decide the infection factors for vaginal candida. Results The infection rate of vaginal candida among married women in Wulingyuan District was 9.32%.The single factor analysis showed that age(χ2=37.934,P<0.05), length of marriage(χ2=36.200,P<0.05),and a history of gynecological operation(χ2=6.851,P<0.05) were the risk factors.Age and gynecological surgery history were selected as the risk factors in the multivariate analysis after Logistic regression(OR>1). Conclusions Married women in Wulingyuan District had high infection rate of vaginal candida,and the women aged 30～39 years were more likely to carry this bacterium.Having a history of gynecological surgery was also the influencing factor for candida infection.It is necessary to strengthen health promotion among the women with a history of gynecological surgery.更多还原