中老年阴道炎患者阴道毛滴虫感染状况调查分析

目的:分析中老年阴道炎患者阴道毛滴虫感染情况,为中老年阴道炎的防治提供依据。方法:对2016年9月～2019年9月来我院就诊的中老年阴道炎患者的阴道分泌物进行阴道毛滴虫检查,同时通过问卷调查方法收集患者的病历资料,回收有效问卷200份,分析不同年龄、季节、职业、生活习惯、性生活情况患者的阴道毛滴虫感染状况。结果:中老年阴道炎患者阴道毛滴虫感染率为10.50%,其中45～50岁年龄段阴道炎患者阴道毛滴虫感染率最高,占19.15%,71～80岁年龄段阴道炎患者阴道毛滴虫感染率最低,占2.78%,不同年龄段阴道炎患者阴道毛滴虫感染率比较有统计学差异(P0.05)。春季、夏季阴道毛滴虫感染率显著高于秋季、冬季(P0.05)。牧民、农民阴道炎患者阴道毛滴虫感染率显著高于工人和公职人员的感染率(P0.05),牧民、农民阴道炎患者阴道毛滴虫感染率无明显差异(P0.05)。经常性清洁外阴的阴道炎患者阴道毛滴虫感染率显著低于非经常性清洁外阴的患者(P0.05)。有性生活阴道炎患者阴道毛滴虫感染率显著高于无性生活患者(P0.05),有性生活应用避孕套的阴道炎患者阴道毛滴虫感染率显著低于不应用避孕套患者(P0.05)。结论:中老年阴道炎患者阴道毛滴虫感染率较高,春季、夏季是阴道毛滴虫感染的高峰期,中年患者感染率高于老年患者,农民、牧民、服务人员和非经常性清洁外阴的患者阴道毛滴虫感染率较高,且有性生活没有应用避孕套者感染率更高,应做好以上高危人群的防治工作,以降低阴道毛滴虫的感染率。

Investigation and Analysis of Trichomonas Vaginalis Mnfection in Middle and Old Age Patients with Vaginitis

ABSTRACT Objective: To analyze the infection status of Trichomonas vaginalis in middle and old age patients with vaginitis,and to provide evidence for prevention and treatment of vaginitis in middle and old age. Methods: From September 2016 to September 2019, the vagina secretion of the middle-aged and old patients with vaginitis was examined for Trichomonas vaginalis. At the same time, the medical records of the patients were collected by questionnaire survey method, and 200 valid questionnaires were collected to analyze the infection of Trichomonas vaginalis in patients of different ages, seasons, occupations, living habits and sexual life. Results: The infection rate of Trichomonas vaginalis was 10.50% in the middle-aged and old patients with vaginitis. The infection rate of Trichomonas vaginalis was the highest in the 45-50-year-old group, accounting for 19.15%. The infection rate of Trichomonas vaginalis was the lowest in the 71-80-year-old group, accounting for 2.78%. The infection rate of Trichomonas vaginalis in spring and summer was significantly higher than that in autumn and winter (P<0.05). The infection rate of Trichomonas vaginalis in herdsmen and farmers with vaginitis was significantly higher than that in workers and public officials (P<0.05), and there was no significant difference between herdsmen and farmers with vaginitis (P>0.05). The infection rate of Trichomonas vaginalis was significantly lower in patients with vaginitis (P<0.05). The infection rate of Trichomonas vaginalis in patients with vaginitis was significantly higher than that in patients with asexual life (P<0.05). The infection rate of Trichomonas vaginalis in patients with vaginitis using condom was significantly lower than that in patients without condom (P<0.05). Conclusion: The infection rate of Trichomonas vaginalis is relatively high in middle and old age patients with vaginitis, spring, summer is the peak period of trichomonas vaginalis infection, the rate of infection in middle age patients is higher than that in old age patients, the infection rate of Trichomonas vaginalis is higher in farmers and herdsmen, service personnel and very few clean vulva and the infection rate of sexual life without condoms is even higher, prevention and treatment of high risk people should be done well, it can reduce the infection rate of Trichomonas vaginalis.