中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2014年
5期
653-656
,共4页
林翠兰%何冰洁%陈昂%何婉懿%韦婉俭
林翠蘭%何冰潔%陳昂%何婉懿%韋婉儉
림취란%하빙길%진앙%하완의%위완검
青春期%外阴阴道炎%危险因素%儿童
青春期%外陰陰道炎%危險因素%兒童
청춘기%외음음도염%위험인소%인동
Puberty%Vulvovaginitis%Risk factors%Child
目的 分析青春期前女童外阴阴道炎年龄分布、就诊原因、高危因素及病因种类分布特征.方法 回顾性分析总结2010年1月至2013年6月在中山市博爱医院女童专科门诊诊断外阴阴道炎并已建立专科档案的4 214例青春期前患儿临床资料,所有临床资料来自于所建专科病历档案.结果 (1)发病与年龄的关系:0 ～1岁1 587例(37.7％),＞1 ～3岁954例(22.6％),＞3 ～7岁1 289例(30.6％),＞7岁384例(9.1％);(2)不良因素与患病的关系:不良卫生习惯2 924例(69.4％),过敏史和最近过敏原接触史875例(20.8％);(3)有、无症状患儿与发生情况:体检发现女童外阴阴道炎无症状者919例(21.8％);有症状者3 295例(78.2％):阴道分泌物812例(19.3％),外阴发红725例(17.2％),瘙痒636例(15.1％),尿频/尿急/尿痛532例(12.6％),外阴疼痛240例(5.7％),外阴异味198例(4.7％),排尿困难152例(3.6％);(4)疾病或病因分类与年龄的关系:非特异性外阴阴道炎1 771例(42.0％),阴唇粘连1 309例(31.1％),细菌性外阴阴道炎375例(8.9％),过敏性外阴阴道炎266例(6.3％),情感性交叉擦腿动作266例(6.3％).结论 儿童不良卫生习惯、过敏及不良排尿习惯等是外阴阴道炎的主要相关因素,好发于婴幼儿期和学龄前期;而过敏及情感性交叉擦腿动作是反复发生和引起非特异性外阴阴道炎及阴唇粘连的主要病因.重视女童生殖器卫生,防治各类外阴阴道炎,可减少女童青春期前外阴阴道炎的发生.
目的 分析青春期前女童外陰陰道炎年齡分佈、就診原因、高危因素及病因種類分佈特徵.方法 迴顧性分析總結2010年1月至2013年6月在中山市博愛醫院女童專科門診診斷外陰陰道炎併已建立專科檔案的4 214例青春期前患兒臨床資料,所有臨床資料來自于所建專科病歷檔案.結果 (1)髮病與年齡的關繫:0 ～1歲1 587例(37.7％),＞1 ～3歲954例(22.6％),＞3 ～7歲1 289例(30.6％),＞7歲384例(9.1％);(2)不良因素與患病的關繫:不良衛生習慣2 924例(69.4％),過敏史和最近過敏原接觸史875例(20.8％);(3)有、無癥狀患兒與髮生情況:體檢髮現女童外陰陰道炎無癥狀者919例(21.8％);有癥狀者3 295例(78.2％):陰道分泌物812例(19.3％),外陰髮紅725例(17.2％),瘙癢636例(15.1％),尿頻/尿急/尿痛532例(12.6％),外陰疼痛240例(5.7％),外陰異味198例(4.7％),排尿睏難152例(3.6％);(4)疾病或病因分類與年齡的關繫:非特異性外陰陰道炎1 771例(42.0％),陰脣粘連1 309例(31.1％),細菌性外陰陰道炎375例(8.9％),過敏性外陰陰道炎266例(6.3％),情感性交扠抆腿動作266例(6.3％).結論 兒童不良衛生習慣、過敏及不良排尿習慣等是外陰陰道炎的主要相關因素,好髮于嬰幼兒期和學齡前期;而過敏及情感性交扠抆腿動作是反複髮生和引起非特異性外陰陰道炎及陰脣粘連的主要病因.重視女童生殖器衛生,防治各類外陰陰道炎,可減少女童青春期前外陰陰道炎的髮生.
목적 분석청춘기전녀동외음음도염년령분포、취진원인、고위인소급병인충류분포특정.방법 회고성분석총결2010년1월지2013년6월재중산시박애의원녀동전과문진진단외음음도염병이건립전과당안적4 214례청춘기전환인림상자료,소유림상자료래자우소건전과병력당안.결과 (1)발병여년령적관계:0 ～1세1 587례(37.7％),＞1 ～3세954례(22.6％),＞3 ～7세1 289례(30.6％),＞7세384례(9.1％);(2)불량인소여환병적관계:불량위생습관2 924례(69.4％),과민사화최근과민원접촉사875례(20.8％);(3)유、무증상환인여발생정황:체검발현녀동외음음도염무증상자919례(21.8％);유증상자3 295례(78.2％):음도분비물812례(19.3％),외음발홍725례(17.2％),소양636례(15.1％),뇨빈/뇨급/뇨통532례(12.6％),외음동통240례(5.7％),외음이미198례(4.7％),배뇨곤난152례(3.6％);(4)질병혹병인분류여년령적관계:비특이성외음음도염1 771례(42.0％),음진점련1 309례(31.1％),세균성외음음도염375례(8.9％),과민성외음음도염266례(6.3％),정감성교차찰퇴동작266례(6.3％).결론 인동불량위생습관、과민급불량배뇨습관등시외음음도염적주요상관인소,호발우영유인기화학령전기;이과민급정감성교차찰퇴동작시반복발생화인기비특이성외음음도염급음진점련적주요병인.중시녀동생식기위생,방치각류외음음도염,가감소녀동청춘기전외음음도염적발생.
Objective To explore the distribution of age,reasons for treatment,risk factors,and causes of vulvovaginitis in prepubertal girls.Methods A total of 4 214 prepubertal girls with vulvovaginitis who were admitted to the Girl's Sub-department,Zhongshan Boai Hospital from January 2010 to June 2013 was reviewed retrospectively.All clinical data were from medical records with files.Results Atotalof1 587 patients (37.7％) was0to1 years old,954 (22.6％) ＞ 1 to3 years old,1 289 (30.6％) ＞ 3 to 7 years old,and 384 (9.1％) ＞ 7 years old.Many risk factors were associated with vaginitis,including poor hygiene (2 924 girls; 69.4％),allergies and exposure to allergens (875 girls; 20.8％).Most common reason for treatment was a referral from physical examination accounting for 919 girls (21.8％),followed by vaginal secretions 812 girls (19.3％).The causes of vulvovaginitis of all patients were evaluated,1 771 of which (42.0％) were nonspecific vulvovaginitis,1 309 (31.1％) labial adhesions,375 (8.9％) bacterial vulvovaginitis,266 (6.3％) allergic vulvovaginitis,and 266 (6.3％) affective leg rubbing action.Conclusions Prepubertal vulvovaginitis occurred mainly in infancy and preschool.Floating population was common.They were caused by many risk factors including poor hygiene,allergies,poor urination habits,etc.The most common causes of vulvovaginitis were nonspecific vulvovaginitis and labia adhesion,yet allergies and affective leg rubbing action were the more common causes of recurrent vulvovaginitis.We propose that focusing on girls' reproductive health,timely treating allergic and crossing rub legs and other diseases would help reduce the prevalence of vulvovaginitis in the prepubertal girls.
