西安市高校2011—2016年女大学生阴道炎发病情况分析

成怡敏1，杨瑾2

（1.西安石油大学医院妇产科，陕西 西安，710065；2.西安交通大学医院妇产科，陕西 西安，710049）

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摘要：

目的 了解西安市高校女大学生阴道炎发病情况及相关影响因素，以期为阴道炎更好地预防和治疗提供参考。方法 分析西安市6所全日制高校2011—2016年2 000名在校女大学生的阴道分泌物检测结果。结果 2 000名女大学生中，共检出阴道炎785例，占比39.25%；2011年的阴道炎检出率最低，为26.57%，2016年的阴道炎检出率最高，为60.62%。2011—2016年，女大学生阴道炎的发病率总体呈增长趋势。外阴阴道假丝酵母菌病检出率高于滴虫性阴道炎和细菌性阴道炎（P<0.05）。无性行为者985人，阴道炎检出率为32.99%；有性行为者1 015人，阴道炎检出率为45.32%，差异具有统计学意义（P<0.05）； 其中有性行为者的外阴阴道假丝酵母菌病和滴虫性阴道炎的检出率高于无性行为者（P<0.05）。在检出的785例阴道炎女大学生中，长期使用卫生护垫、缺乏运动、经常使用药物洗液冲洗外阴或阴道、生活不规律者人数与未检出阴道炎者比较，差异具有统计学意义（P<0.05）。Pearson 相关分析显示，阴道炎与长期使用卫生护垫、缺乏运动、经常使用药物洗液冲洗外阴或阴道、生活不规律均呈显著正相关（r=0.496、0.537、0.628、0.214，P<约0.05）。结论 近年来，女大学生阴道炎患病率有上升的趋势。 女大学生阴道炎与性行为和不良生活习惯关系密切。

关键词：女大学生；阴道炎；发病率

中图分类号：R711.31文献标志码：A文章编号：2096-1413(2017)30-0001-03

Analysis of the incidence of vaginitis among female college students in Xi``an from 2011 to 2016
CHENG Yi-min 1, YANG Jin 2
（1. Department of Gynaecology and Obstetrics, Hospital of Xi``an Shiyou University, Xi``an 710065; 2. Departoment of Gynaecology
and Obstetrics, Hospital of Xi``an Jiaotong University, Xi``an 710049, China)

ABSTRACT: Objective To understand the incidence and related influencing factors of vaginitis in female college students, in order to provide reference for better prevention and clinical anti-infection treatment for vaginitis. Methods The vaginal secretions detection results of 2 000 cases of female college students from 2011 to 2016 were statistically analyzed. Results A total of 785 cases were detected as vaginitis in 2 000 students (39.25%); the detection rate of vaginitis in 2011 was the lowest (26.57%), and the detection rate of vaginitis in 2016 was the highest (60.62%). From 2011 to 2016, the incidence of vaginitis among female college students showed a general trend of growth. The detection rate of vulvovaginal candidiasis was higher than that of trichomonas vaginitis and bacterial vaginitis (P<0.05). Among the 985 asexual female college students, the detection rate of vaginitis was 32.99%, and the detection rate of vaginitis was 45.32% in 1 015 sexual female college students (P<0.05). The detection rate of vulvovaginal candidiasis and trichomonas vaginitis in the sexual female college students was higher than that of asexual female college students (P<0.05). The detection rate of vulvovaginal candidiasis and trichomonas vaginitis in the sexual fernale college students were higher than those of the asexual (P<0.05). There were significant differences in the proportion of students used long-term sanitary pads, lack of exercise, regular use of medicinal lotions, flushing of vulva or vagina, irregular life between the detection and undetection of vaginitis students (P<0.05). Pearson correlation analysis showed that there were significant positive correlations between the rate of vaginitis and the long-term use of sanitary pads, lack of exercise, regular use of medication lotion, flushing of vulva or vagina, irregular life (r=0.496, 0.537, 0.628, 0.214, P<0.05). Conclusion In recent years, the prevalence of vaginitis among female college students is on the rise. Vaginitis among female college students is closely related to sexual behavior and bad habits and habits.

KEYWORDS: female college students; vaginitis; morbidity

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