Analysis on vaginal micro-ecology of 22 029 outpatients

Abstract:

Objective：To provide guidance for clinical diagnosis and treatment by analyzing the characteristics of female vaginal mi－cro-ecology in the outpatients. Methods：Conducting a retrospective study by analyzing the women who took vaginal micro-ecological detection in the hospital from January 2015 to December 2015. The contents of the vaginal micro-ecology was analyzed mainly in－cluding vaginal pH，lactobacillus and cleanliness. Results：①The vaginal micro-ecology of 3 219（14.61%） patients was normal；how－ever，the other 18 810 patients（85.39%） were abnormal including dominant flora in 9 443 cases（9 443/18 810，50.20%），the simple coleitise in 6138 cases（6 138/18 810，32.63%）and the mixed coleitise in 1 241 cases（1 241/18 810，6.60%）. The bacterial vaginosis （BV） occupied for 52.74%（3 237/6 138），which is the most common type among the simple coleitis. The vulvovaginal candidiasis （VVC） occupied for 40.00%（2 455/6 138）. The BV and VVC occupied for 25.87%（321/1 241），which is common in the mixed coleitis，followed by aerobic vaginitis（AV） and VVC（268/1241，21.60%）. ②Vaginitis is closely related to age. It was found that the constituent ratio of AV+VVC over 50-year-old is significantly lower than that of group of 21 to 50 years old（P=0.00）. ③The number of lactobacillus is closely related to the pH of vagina（P=0.00）. Conclusion：The incidence rate of abnormal vaginal micro-ecological is high in outpatients. Some patients with definitive diagnosis for pathogenic bacteria have mixed infection. Different age groups have different constitutions of vaginal micro-ecological. We should combine the age of patients with vaginal micro-ecological status in the treatment of coleitis. When taking sterilization，we also should restore the balance of vaginal micro-ecological at the same time pre－venting coleitis happening repeatedly.