西安市某院育龄期女性细菌性阴道疾病复发的相关危险因素分析
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摘要
目的探讨影响我院育龄女性细菌性阴道疾病(BV)复发的相关危险因素,为预防BV复发提供依据。方法选择我院妇科门诊782名复诊BV女性,按照检查结果将其分为复发组和未复发组,比较两组临床资料,分析BV复发的相关危险因素。结果782名受检者中,BV复发221例,BV复发率为28.26%(221/782)。复发组文化程度低于未复发组,内裤材质款式不佳、内裤清洗、晾晒方式不当、经期外阴清洁不当、经期卫生巾更换不勤、非经期使用护垫、未使用避孕套、流产及分娩次数过多的占比均高于未复发组(P<0.05)。多因素Logistic回归分析结果显示,文化程度、内裤材质款式、内裤清洗、晾晒方式、经期外阴清洁情况、经期卫生巾更换时间、非经期使用护垫、未使用避孕套、流产及分娩次数均是BV复发的独立危险因素(P<0.05)。结论育龄期BV感染女性具有较高的复发率,因而需加强对育龄期女性的健康宣教工作,提高其卫生健康及自我保护意识。
Objective To explore the risk factors associated with recurrence of bacterial vaginal diseases(BV) in women of childbearing age in our hospital, to provide the evidence for prevention of BV recurrence. Methods A total of 782 women reviewed for BV in gynaecological outpatient department of our hospital were selected. According to the results of the examination, they were divided into recurrent group and non-recurred group. The clinical data of the two groups were compared, and the risk factors associated with recurrence of BV were analyzed. Results Of 782 subjects, there were 221 cases of BV recurrence, the BV recurrence rate was 8.26%(221/782). The degree of education in the recurrent group was lower than that in the non-recurrent group, the proportions of poor material and style of underwear, inappropriate cleaning and drying methods of underwear, improper cleaning of vulva during menstruation, rarely replace sanitary napkin during menstruation, using pads at non-menstrual period, without using condoms and more abortions and births in the recurrent group were higher than those in the non-recurrent group(P<0.05). The multivariate Logistic regression analysis showed that the degree of education, underwear material and style, methods of underwear cleaning and drying, menstrual vulva cleaning,time of menstrual sanitary napkin replacement, using pads at non-menstrual period, without using condoms and times of abortions and births were the independent risk factors of BV recurrence(P<0.05). Conclusion Women at the childbearing age have a higher recurrence rate of BV infection, so it is necessary to strengthen the health education for women of childbearing age and improve their health and self-protection awareness.
Objective To explore the risk factors associated with recurrence of bacterial vaginal diseases(BV) in women of childbearing age in our hospital, to provide the evidence for prevention of BV recurrence. Methods A total of 782 women reviewed for BV in gynaecological outpatient department of our hospital were selected. According to the results of the examination, they were divided into recurrent group and non-recurred group. The clinical data of the two groups were compared, and the risk factors associated with recurrence of BV were analyzed. Results Of 782 subjects, there were 221 cases of BV recurrence, the BV recurrence rate was 8.26%(221/782). The degree of education in the recurrent group was lower than that in the non-recurrent group, the proportions of poor material and style of underwear, inappropriate cleaning and drying methods of underwear, improper cleaning of vulva during menstruation, rarely replace sanitary napkin during menstruation, using pads at non-menstrual period, without using condoms and more abortions and births in the recurrent group were higher than those in the non-recurrent group(P<0.05). The multivariate Logistic regression analysis showed that the degree of education, underwear material and style, methods of underwear cleaning and drying, menstrual vulva cleaning,time of menstrual sanitary napkin replacement, using pads at non-menstrual period, without using condoms and times of abortions and births were the independent risk factors of BV recurrence(P<0.05). Conclusion Women at the childbearing age have a higher recurrence rate of BV infection, so it is necessary to strengthen the health education for women of childbearing age and improve their health and self-protection awareness.
引文
[1]冉华利,宁晓娟,魏秀娟.西安市阎良区农村已婚育龄妇女生殖道感染现状及相关因素研究[J].中国当代医药,2013,20(33):162-164.
[2]庞卓超,叶翠芬,聂润球,等.428例育龄期妇女阴道感染情况调查[J].中国妇幼保健,2017,32(15):3623-3626.
[3]郭爱霞,李红林.恢复阴道微生态对复发性细菌性阴道病的治疗效果观察[J].安徽医药,2014,18(7):1364-1365.
[4]徐秋平.细菌性阴道病复发原因及阴道微生态评价指标对治疗细菌性阴道病的影响[J].临床医学,2016,36(9):17-19.
[5]王西叶,蒋益炯,金晶,等.孕28周后妊娠合并细菌性阴道病发病分析及对妊娠结局的影响[J].中华医院感染学杂志,2017,27(14):3277-3280.
[2]庞卓超,叶翠芬,聂润球,等.428例育龄期妇女阴道感染情况调查[J].中国妇幼保健,2017,32(15):3623-3626.
[3]郭爱霞,李红林.恢复阴道微生态对复发性细菌性阴道病的治疗效果观察[J].安徽医药,2014,18(7):1364-1365.
[4]徐秋平.细菌性阴道病复发原因及阴道微生态评价指标对治疗细菌性阴道病的影响[J].临床医学,2016,36(9):17-19.
[5]王西叶,蒋益炯,金晶,等.孕28周后妊娠合并细菌性阴道病发病分析及对妊娠结局的影响[J].中华医院感染学杂志,2017,27(14):3277-3280.