妊娠期女性白带常规检测结果分析

Analysis of the Results of Routine Examination of Leucorrhea in Pregnant Women

摘要: 目的：探讨妊娠期妇女白带常规检测结果。方法：回顾性分析2021年1月~2021年12月到本院妇产科进行就诊的2784例受检妊娠期妇女的白带标本，用常规镜检法对白带的清洁度、细菌性阴道病(BV)、滴虫和霉菌进行检测分析。结果：2784例受检者中，共检测出阴道感染者有368例(13.22%)，其中单一感染者有330例(11.85%)，混合感染者有38例(1.37%)；检测出清洁度II度者1319例(47.38%)，III度者962例(34.55%)，IV度者503例(18.07%)。阴道清洁度II度的检出率最高，III度次之，IV度最低，差异具有统计学意义(P < 0.05)；不同年龄组阴道病原体感染率不同，>40岁组感染率17.24% (35/203)高于21~30岁组12.90% (138/1070)和31~40岁组12.91% (195/1511)。结论：白带常规检查为孕妇阴道感染情况提供临床诊断依据，以对患者进行及时有效地治疗，可降低不良妊娠结局的发生。

Abstract: Objective: To investigate the results of routine examination of leucorrhea in pregnant women. Methods: The cleanliness of leucorrhea, Bacterial Vaginosis (BV), trichomoniasis and mold were an-alyzed by routine microscopic examination in 2784 pregnant women from January 2021 to Decem-ber 2021. Results: Among the 2784 leucorrhea cases, 368 cases (13.22%) were vaginally-infection, including 330 (11.85%) patients with single vaginal infection and 38 (1.37%) patients with mixed vaginal infection. Cleanliness II degree of 1319 cases (47.38%), III degree of 962 cases (34.55%) and IV degree of 503 cases (18.07%). The cleanliness II degree was significantly higher than III and IV degree (P < 0.05). The infection rate of vaginal pathogens was different in different age groups, the infection rate of >40 age group 17.24% (35/203) was higher than 21~30 age group 12.90% (138/1070) and 31~40 age group12.91% (195/1511). Conclusions: The routine examination of leucorrhea can provide clinical basis for vaginal infection in pregnant women, so as to provide timely and effective treatment for patients, which can reduce the occurrence of adverse pregnancy outcomes.