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目的:了解张家界市武陵源区土家族已婚妇女阴道念珠菌和滴虫感染状况及相关危险因素,为制定干预措施提供科学依据方法:采用现况调查的方法对武陵源区土家族已婚妇女进行问卷调查、妇科检查和实验室检查,并采用SPSS17.0进行统计分析,统计方法采用检验和logistic回归分析。结果:2562例研究对象中共检出阴道念珠菌感染者235例,感染率为9.17%。阴道滴虫感染者186例,感染率为7.23%。单因素卡方检验结果显示,不同年龄(X2=32.868,P<0.05)、文化程度(X2=18.338,P<0.05)、结婚年龄(X2=7.759,P<0.05)、结婚年限(X2=34.297,P<0.05)、产次(X2=11.262,P<0.05)和避孕方式(X2=21.313,P<0.05)的妇女阴道念珠菌感染率差异有统计学意义。不同年龄(X2=32.375,P<0.05)、文化程度(X2=11.200,P<0.05)、结婚年龄(X2=11.134,P<0.05)、结婚年限(X2=20.754,P<0.05)、孕次(X2=27.595,P<0.05)、产次(X2=30.933,P<0.05)和避孕方式(X2=20.504,P<0.05)的妇女阴道滴虫感染率差异均有统计学意义。多因素分析显示,对于念珠菌性阴道炎,高年龄是其保护因素(OR=0.704,OR95%CI:0.598,0.828),文化程度低(OR=1.360,OR95%CI:0.999,1.852)孕次多(OR=1.323,OR95%CI=:1.083,1.616)是其危险因素;而对滴虫性阴道炎,结婚婚龄大是保护因素(OR=0.656,OR95%CI:0.458,0.938),孕次(OR=1.538,OR95%CI:1.164,2.031)和产次多(OR=1.423,OR95%CI:1.097,1.847)是其危险因素。结论:武陵源区土家族已婚妇女阴道念珠菌和滴虫感染率菌较高,其发生与年龄、孕产次等因素相关,应针对危险因素采取综合措施控制其发生。
Objective: To understand the status of vaginal candidiasis and trichomoniasis in Tujia married women in Wulingyuan district of Zhangjiajie City and related risk factors, and to provide a scientific basis for the formulation of interventions. Methods: Questionnaires were used to survey married women of Tujia nationality in Wulingyuan District Investigation, gynecological examination and laboratory examination, and use SPSS17.0 for statistical analysis, statistical methods using test and logistic regression analysis. Results: A total of 235 cases of vaginal candidiasis were detected in 2562 subjects, the infection rate was 9.17%. Vaginal trichomoniasis in 186 cases, the infection rate was 7.23%. The results of univariate chi-square test showed that the average age of marriage (X2 = 7.759, P <0.05), age at marriage (X2 = 34.297 , P <0.05). There was significant difference in the prevalence of vaginal candidiasis between the delivery times (X2 = 11.262, P <0.05) and contraceptive methods (X2 = 21.313, P <0.05) The average age of marriage (X2 = 20.754, P <0.05), age at marriage (X2 = 32.375, P <0.05) (X2 = 27.595, P <0.05). The prevalence rates of vaginal trichomoniasis in women who received birth control (X2 = 30.933, P <0.05) and contraceptive methods (X2 = 20.504, P <0.05) were statistically significant. Multivariate analysis showed that high age was the protective factor for Candida vaginitis (OR = 0.704, OR95% CI: 0.598,0.828), with low education (OR = 1.360, OR95% CI: 0.999, (OR = 1.323, OR 95% CI = 1.083,1.616) were the risk factors. For trichomonas vaginitis, marriage age was the protective factor (OR = 0.656, OR95% CI: 0.458, 0.938) (OR = 1.538, OR95% CI: 1.164, 2.031) and the number of births (OR = 1.423, OR95% CI: 1.097, 1.847) were the risk factors. Conclusion: The prevalence of vaginal candidiasis and trichomoniasis in Tujia married women in Wulingyuan district is higher than that in other areas. The incidence of vaginal candidiasis and trichomoniasis is related to the age and the number of second trimester pregnancies. Comprehensive measures should be taken to control their occurrence.