【摘要】 目的了解医院妇科患者阴道毛滴虫感染状况,指导临床疾病治疗。方法棉签拭子收集妇科患者阴道后穹窿部阴道分泌物,镜检阴道毛滴虫滋养体,统计分析阴道毛滴虫感染情况。结果 471例妇科患者中,阴道毛滴虫感染49例,感染率10.40%。18～岁、20～岁、30～岁、40～岁、50～岁患者感染率分别为5.26%(2/38)、10.62%(12/113)、14.61%(26/178)、7.37%(7/95)和4.26%(2/47)。农民、矿工、公务员、教师、服务业、无固定职业者感染率分别为16.22%(18/111)、12.90%(12/93)、5.13%(4/78)、3.77%(2/53)、11.11%(8/72)和7.81%(5/64)。使用避孕套、口服避孕药、无避孕措施患者分别感染22、16和11例,感染率为6.90%(22/319)、15.84%(16/101)和21.57%(11/51),无避孕措施者感染率最高,差异有统计学意义(χ2=7.649 1,P=0.005 7)。从不、偶尔、经常使用公共马桶者感染率分别为7.14%(11/154)、10.09%(22/218)和16.16%(16/99);从不、偶尔、经常共用浴巾浴衣者感染率分别为6.12%(15/245)、11.51%(16/139)和20.69%(18/87);从不、偶尔、经常混用洗脚洗会阴盆者感染率分别为4.14%(13/314)、19.44%(14/72)和25.88%(22/85)。经常使用公共马桶、经常共用浴巾浴衣者和经常混用洗脚洗会阴盆者感染率高于其他患者,差异均有统计学意义(χ2=4.4588,12.1131,26.6606,P均<0.05)。结论阴道毛滴虫感染妇科就诊患者以30～岁、农民、无避孕措施的患者居多,养成良好的卫生习惯可减少感染发生。更多还原

【Abstract】 Objective To ascertain the status of infection with Trichomonas vaginalis in patients seen in Gynecology in order to guide the clinical treatment of that infection. Methods Vaginal secretions from the posterior fornix of patients seen in Gynecology were collected using a cotton swab,and Trichomonas vaginalis trophozoites were detected microscopically.The status of infection with T.vaginalis was statistically analyzed. ResultsOf 471 patients seen in Gynecology,49 were infected with T.vaginalis,for a rate of infection of 10.40%.The rate of infection was 5.26%(2/38)in patients 18-19 years of age,10.62%(12/113)in patients in their 20 s,14.61%(26/178)in patients in their 30 s,7.37%(7/95)in patients in their 40 s,and 4.26%(2/47)in patients over the age of 50.The rate of infection was 16.22%(18/111)in farmers,12.90%(12/93)in miners,5.13%(4/78)in civil servants,3.77%(2/53)in teachers,11.11%(8/72)in the service industry,and 7.81%(5/64)in patients with no fixed occupation.Of patients with an infection,22 used condoms,16 used oral contraceptives,and 11 did not use contraceptives.The rate of infection was 6.90%(22/319)in patients using condoms,15.84%(16/101)in patients using oral contraceptives,and 21.57%(11/51)in patients not using contraceptives.Patients not using contraceptives had the highest rate of infection,and the rate of infection differed significantly from that in other patients(χ2=7.6 491.P=0.0 057).The rate of infection was 7.14%(11/154)in patients who never used a public toilet,10.09%(22/218)in patients who occasionally used a public toilet,and 16.16%(16/99)in patients who often used a public toilet.The rate of infection was 6.12%(15/245)in patients who never shared a bath towel,11.51%(16/139)in patients who occasionally shared a bath towel,and 20.69%(18/87)in patients who often shared a bath towel.The rate of infection was 4.14%(13/314)in patients who never used a basin to wash their perineum,19.44%(14/72)in patients who occasionally used a basin to wash their perineum,and 25.88%(22/85)in patients who often used a basin to wash their perineum.Patients who often used a public toilet,who shared a bath towel,and who used a basin to wash their perineum had a significantly higher rate of infection than patients who did not,and the rate of infection differed significantly(χ2=4.4 588,12.1 131,26.6 606,P<0.05 for all). ConclusionPatients infected with Trichomonas vaginalis who were seen in Gynecology were mainly in their 30 s,farmers,and did not use contraceptives.Good hygiene can reduce the incidence of infection.更多还原