CAJ | 학술논문

目的：分析细菌性阴道病患病的相关因素，探讨其预防措施。方法选择上海市黄浦区妇幼保健所门诊检测细菌性阴道病阳性患者106例为病例组，106例细菌性阴道病阴性者作为对照组，对其细菌性阴道病相关因素进行分析；其中相关危险因素包括：其他性传播疾病（衣原体感染史、淋病史及滴虫阴道炎史）、外阴阴道假丝酵母菌病、避孕方式、相关行为因素（阴道清洁次数与方式、内裤消毒、洗澡地点及方式、性卫生习惯、流产次数）。结果经单因素分析显示，淋病史、外阴阴道假丝酵母菌病史、滴虫阴道炎史、多次流产及经常清洗阴道与细菌性阴道病发病有关，选择避孕套避孕及有良好卫生习惯者细菌性阴道病发病率低。经多因素Logistic回归分析结果提示，滴虫阴道炎史（OR＝10．05，P＜0．05）、人流次数（OR＝1．72，P＜0．05）、清洗阴道（OR＝3．89，P＜0．05）可升高细菌性阴道病患病风险；使用避孕套（OR＝0．03，P＜0．05）、良好性卫生习惯（OR＝0．39，P＜0．05）则具有保护作用。结论选择避孕套避孕和有良好性卫生习惯可降低细菌性阴道病的发病风险。
목적：분석세균성음도병환병적상관인소，탐토기예방조시。방법선택상해시황포구부유보건소문진검측세균성음도병양성환자106례위병례조，106례세균성음도병음성자작위대조조，대기세균성음도병상관인소진행분석；기중상관위험인소포괄：기타성전파질병（의원체감염사、임병사급적충음도염사）、외음음도가사효모균병、피잉방식、상관행위인소（음도청길차수여방식、내고소독、세조지점급방식、성위생습관、유산차수）。결과경단인소분석현시，임병사、외음음도가사효모균병사、적충음도염사、다차유산급경상청세음도여세균성음도병발병유관，선택피잉투피잉급유량호위생습관자세균성음도병발병솔저。경다인소Logistic회귀분석결과제시，적충음도염사（OR＝10．05，P＜0．05）、인류차수（OR＝1．72，P＜0．05）、청세음도（OR＝3．89，P＜0．05）가승고세균성음도병환병풍험；사용피잉투（OR＝0．03，P＜0．05）、량호성위생습관（OR＝0．39，P＜0．05）칙구유보호작용。결론선택피잉투피잉화유량호성위생습관가강저세균성음도병적발병풍험。
Objective To analyze the risk factors of bacterial vaginosis (BV) and explore preventive measures.Methods Totally 106 bacterial vaginosis-positive patients detected in Shanghai Huangpu District Maternal and Child Care Institute were selected as case group , and another 106 bacterialvaginosis-negative patients were recruited in control group .The related factors of BV were analyzed , including other sexually transmitted diseases ( history of choamydiae infection , gonorrhea and trichomonal vaginitis ) , vulvovaginal candidiasis , contraception and behavioral factors ( times and ways of vagina cleaning , sterilization of pants , place and way of bath , sexual hygiene and times of miscarriage ) .Results Univariate analysis indicated that the history of gonorrhea , vulvovaginal candidiasis , trichomonal vaginitis , frequent miscarriage and frequent vagina cleaning might increase the risk of BV , and that using of condom and good sexual health habits might reduce the incidence of BV .Multivariate Logistic regression analysis showed that history of trichomonal vaginosis (OR=10.05,P<0.05), frequency of miscarriage (OR=1.72,P<0.05) and cleaning of vagina (OR=3.89,P<0.05) could increase the risk of BV, but use of condoms (OR=0.03,P<0.05) and good sexual health habits (OR=0.39,P<0.05) had protective effect.Conclusion The use of condoms and good sexual health habits can reduce the risk of BV .