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目的评估阴道混合感染的微生态环境,为临床诊治提供依据。方法调查230例阴道炎患者的症状、体征、阴道分泌物pH值、菌群分析及评分。结果阴道单一感染138例(60.0%),阴道混合感染92例(40.0%),其中常见的有细菌性阴道病+需氧菌阴道炎54例(58.7%),外阴阴道假丝酵母菌病+需氧菌阴道炎22例(23.9%),滴虫性阴道炎+需氧菌阴道炎12例(13.0%),其它4例(4.3%)。与阴道单一感染相比,混合感染患者疼痛症状更加明显,清洁度较差、pH值更高、乳杆菌减少、阴道微生态评分异常(P<0.05,P<0.01)。结论阴道混合感染发生率高,应重视阴道微生物的综合检测。
Objective To evaluate the micro-ecological environment of vaginal mixed infection and provide the basis for clinical diagnosis and treatment. Methods 230 patients with vaginitis symptoms, signs, vaginal secretions pH value, flora analysis and score. Results Vaginal single infection in 138 cases (60.0%), vaginal mixed infection in 92 cases (40.0%), of which common bacterial vaginosis + aerobic vaginitis 54 cases (58.7%), vulvovaginal candidiasis + 22 cases (23.9%) of aerobic vaginitis, 12 cases of trichomonas vaginitis + aerobic bacterial vaginosis (13.0%) and the other 4 cases (4.3%). Compared with single vaginal infection, patients with mixed infection showed more obvious pain symptoms, worse cleanliness, higher pH value, decreased lactobacilli, and vaginal microecological scores (P <0.05, P <0.01). Conclusion The incidence of vaginal mixed infection is high, and the comprehensive detection of vaginal microorganisms should be emphasized.