中国现代药物应用
中國現代藥物應用
중국현대약물응용
CHINESE JOURNAL OF MODERN DRUG APPLICATION
2015年
11期
39-40,41
,共3页
阴道分泌物%五联检查法%阴道炎%诊断
陰道分泌物%五聯檢查法%陰道炎%診斷
음도분비물%오련검사법%음도염%진단
Vaginal secretions%Five-combined detection method%Vaginitis%Diagnosis
目的：评价阴道分泌物五联检查法在阴道炎临床诊断中的应用价值。方法460例阴道炎患者的阴道分泌物标本作为研究对象。每例患者共采集两份分泌物标本，分别进行常规阴道分泌物检查与五联检查法检查，常规法为湿片镜检及革兰染色镜检，五联检查法包括pH、过氧化氢、白细胞酯酶、唾液酸苷酶、脯氨酸苷酶、乙酰氨基葡萄糖苷酶检查，比较两种检查方法在阴道炎诊断中的应用价值。结果在细菌性阴道炎、白细胞、念珠菌的检出情况比较中，五联法明显高于常规法，而在其他感染、混合感染中常规法检出情况高于五联法，差异均具有统计学意义(P<0.05)，但滴虫检出情况比较差异无统计学意义(P>0.05)。结论阴道分泌物五联检查法对细菌性阴道炎、念珠菌等具有较高的检出率，提高了临床对于细菌性阴道炎的检出，但仍不可忽视常规检测法的应用价值，为进一步提高阴道炎临床检出率可选择五联法结合常规法进行检测。
目的：評價陰道分泌物五聯檢查法在陰道炎臨床診斷中的應用價值。方法460例陰道炎患者的陰道分泌物標本作為研究對象。每例患者共採集兩份分泌物標本，分彆進行常規陰道分泌物檢查與五聯檢查法檢查，常規法為濕片鏡檢及革蘭染色鏡檢，五聯檢查法包括pH、過氧化氫、白細胞酯酶、唾液痠苷酶、脯氨痠苷酶、乙酰氨基葡萄糖苷酶檢查，比較兩種檢查方法在陰道炎診斷中的應用價值。結果在細菌性陰道炎、白細胞、唸珠菌的檢齣情況比較中，五聯法明顯高于常規法，而在其他感染、混閤感染中常規法檢齣情況高于五聯法，差異均具有統計學意義(P<0.05)，但滴蟲檢齣情況比較差異無統計學意義(P>0.05)。結論陰道分泌物五聯檢查法對細菌性陰道炎、唸珠菌等具有較高的檢齣率，提高瞭臨床對于細菌性陰道炎的檢齣，但仍不可忽視常規檢測法的應用價值，為進一步提高陰道炎臨床檢齣率可選擇五聯法結閤常規法進行檢測。
목적：평개음도분비물오련검사법재음도염림상진단중적응용개치。방법460례음도염환자적음도분비물표본작위연구대상。매례환자공채집량빈분비물표본，분별진행상규음도분비물검사여오련검사법검사，상규법위습편경검급혁란염색경검，오련검사법포괄pH、과양화경、백세포지매、타액산감매、포안산감매、을선안기포도당감매검사，비교량충검사방법재음도염진단중적응용개치。결과재세균성음도염、백세포、념주균적검출정황비교중，오련법명현고우상규법，이재기타감염、혼합감염중상규법검출정황고우오련법，차이균구유통계학의의(P<0.05)，단적충검출정황비교차이무통계학의의(P>0.05)。결론음도분비물오련검사법대세균성음도염、념주균등구유교고적검출솔，제고료림상대우세균성음도염적검출，단잉불가홀시상규검측법적응용개치，위진일보제고음도염림상검출솔가선택오련법결합상규법진행검측。
Objective To evaluate the application value of vaginal secretions five-combined detection method in clinical diagnosis of vaginitis. Methods There were 460 vaginal secretions specimens of vaginitis patients as study subjects. Each patient provided two sets of samples for conventional vaginal secretions detection and five-combined detection. The conventional detection included microscopic examination of wet slice and gram stain, and the five-combined detection included examination for pH, hydrogen peroxide, leucocyte esterase, neuraminidase, proline glycosides enzyme, and acetyl amino glycosidase enzymes. Application values of the two methods for diagnosis of vaginitis were compared. Results The five-combined detection had higher detection status in bacterial vaginitis, leukocyte, and candida than the conventional method, while the conventional method provided higher detection status in other infection and mixed infections. Their differences all had statistical significance (P<0.05). The difference of trichomonad detection status between the two methods had no statistical significance (P>0.05). Conclusion Vaginal secretions five-combined detection method can provide high detection rate for bacterial vaginitis and candida, and it improve clinical detection of bacterial vaginitis. The application value of conventional detection method is still important, thus combination of conventional method and five-combined detection method can be used for improving clinical diagnosis rate of vaginitis.
