目的 了解贵池区农村女性阴道感染及病原体分布情况。方法 2022年4—6月对贵池区16个乡镇(街道)自愿参加宫颈癌筛查的6 950名35~64岁农村女性阴道分泌物进行湿片检查,分析其清洁度和真菌、滴虫感染情况。结果 2022年贵池区检查35~64岁农村女性6 950人,阴道分泌物真菌检出率为5.39％,其中35~49岁和50~64岁女性检出率分别为7.49 ％(184/2 455)、4.25 ％(191/4 495),差异有统计学意义(χ²=32.769,P<0.001);滴虫检出率为0.46％,其中35~49岁和50~64岁女性检出率分别为0.53％(13/2 455)、0.42 ％(19/4 495),差异无统计学意义(χ²=0.395,P=0.529)。阴道清洁度Ⅰ~Ⅱ度检出率为89.55％,其中35~49岁和50~64岁女性分别为92.46％(2 270/2 455)、87.96％(3 954/4 495),差异有统计学意义(χ²=34.370,P<0.001);清洁度Ⅲ~Ⅳ度检出率为10.45％,其中35~49岁和50~64岁女性分别为7.54％(185/2 455)、12.04％(541/4 495),差异有统计学意义(χ²=34.370);真菌检出率在阴道清洁度Ⅰ~Ⅱ度和Ⅲ~Ⅳ度女性中分别为5.73％(357/6 224)、2.47%(18/726),差异有统计学意义(χ²=13.524,P<0.001);滴虫检出率在阴道清洁度Ⅰ~Ⅱ度和Ⅲ~Ⅳ度女性中分别为0.32％(20/6 224)、1.65％(12/726),差异有统计学意义(χ²=25.131,P<0.001)。结论 贵池区6 950名35~64岁农村女性生殖道感染水平不高,但不同年龄女性存在的感染现象有差别,应针对不同感染情况采取针对性的健康干预措施。

Objective To investigate the infection of vaginal secretions and the distribution of pathogens among rural women in Guichi District. Methods From April to June 2022,the vaginal secretions of 6 950 rural women aged 35 to 64 who voluntarily participated in cervical cancer screening in 16 towns of Guichi District were examined with wet tablets,the cleanliness,fungal and trichomonas infection were analyzed. Results In 2022,6 950 rural women aged 35-64 years were examined in Guichi District,and the detection rate of vaginal secretions was 5.39％,among which the detection rates of 35-49 years old and 50-64 years old women were 7.49％ (184/2 455) and 4.25％ (191/4 495),respectively.The difference was statistically significant (χ²=32.769,P<0.001).The detection rate of Trichomonas was 0.46％,and the detection rates of females aged 35-49 and 50-64 were 0.53％ (13/2 455) and 0.42％ (19/4 495),respectively,with no significant difference (χ²=0.395,P=0.529).The detection rate of vaginal cleanliness degree Ⅰ-Ⅱ was 89.55％,among which 92.46％ (2 270/2 455) and 87.96％ (3 954/4 495) were found in women aged 35-49 and 50-64,respectively (χ²=34.370,P<0.001).The rate of Ⅲ-Ⅳ cleanliness was 10.45％,among which 7.54％ (185/2 455) and 12.04％ (541/4 495) were found in women aged 35-49 and 50-64,respectively (χ²=34.370,P<0.001).The positive rates of fungi were 5.73％ (357/6 224) and 2.47%(18/726) in women with vaginal cleanliness degrees Ⅰ-Ⅱ and Ⅲ-Ⅳ,respectively (χ²=13.524,P<0.001).The detection rates of Trichomonas were 0.32％ (20/6 224) and 1.65％ (12/726) in women with degrees of vaginal cleanliness Ⅰ-Ⅱ and Ⅲ-Ⅳ,respectively (χ²=25.131,P<0.001). Conclusion The level of reproductive tract infection in 6 950 rural women aged 35-64 in Guichi District is not high,but the infection phenomenon of women of different ages cannot be ignored,and targeted health intervention measures should be taken according to different infection conditions.