首页|高危型人乳头瘤病毒感染引发的宫颈上皮内瘤变患者阴道微生态情况及影响因素分析

高危型人乳头瘤病毒感染引发的宫颈上皮内瘤变患者阴道微生态情况及影响因素分析

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目的 探讨高危型人乳头瘤病毒(HR-HPV)感染引发的宫颈上皮内瘤变(CIN)患者阴道微生态情况及影响因素.方法 选取2018年5月至2019年6月石家庄市妇幼保健院收治的296例CIN患者作为研究对象,根据HR-HPV检测结果分为感染组(n=260)与未感染组(n=36).比较两组阴道微生态情况,采用Logistic回归分析CIN患者发生HR-HPV感染的影响因素.结果 HR-HPV感染发生率为87.84%.感染组初次性生活年龄<18岁、性伴侣数量≥3名发生率,唾液酸苷酶、过氧化氢酶、脯氨酸氨基肽酶、细菌性阴道炎(BV)、支原体阳性率,以及阴道清洁度、菌群多样性异常率均高于未感染组(P<0.05).初次性生活年龄<18岁、性伴侣数量≥3名、唾液酸苷酶、过氧化氢酶、脯氨酸氨基肽酶、BV、支原体阳性、阴道清洁度、菌群多样性异常是CIN患者发生HR-HPV感染的影响因素(OR>1,P<0.05).结论 HR-HPV感染与CIN患者阴道微生态情况密切相关,阴道微生态、菌群多样性异常可增加HR-HPV感染风险.
Analysis of vaginal microecology condition and influencing factors in patients with cervical intraepithelial neoplasia caused by high-risk human papilloma virus infection
Objective To investigate the vaginal microecology condition and influencing factors in patients with cervical intraepithelial neoplasia(CIN)caused by high-risk human papilloma virus(HR-HPV)infection.Methods A total of 296 patients with CIN admitted to Shijiazhuang Maternal and Child Health Hospital from May 2018 to June 2019 were selected as the research objects.According to the results of HR-HPV test,they were divided into infection group(n=260)and non-infection group(n=36).The vaginal microecology condition of the two groups was compared,and the influencing factors of HR-HPV infection in CIN patients were analyzed by Logistic regression.Results The incidence of HR-HPV infection was 87.84%.The incidence of first sexual life age<18 years old,number of sexual partners≥3,sialidase,catalase,proline aminopeptidase,bacterial vaginitis(BV),mycoplasma positive rate,vaginal cleanliness and abnormal rate of flora diversity in the infection group were higher than those in the non-infection group(P<0.05).The age of first sexual life<18 years old,the number of sexual partners ≥3,sialidase,catalase,proline aminopeptidase,BV,mycoplasma positive,vaginal cleanliness and abnormal flora diversity were the influencing factors of HR-HPV infection in CIN patients(OR>1,P<0.05).Conclusions HR-HPV infection is closely related to the vaginal microecology condition of CIN patients.Abnormal vaginal microecology and flora diversity can increase the risk of HR-HPV infection.

High-risk human papilloma virusCervical intraepithelial neoplasiaVaginal microecology

肖爽、马立、史昭、杨淑英

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石家庄市妇幼保健院妇三科,石家庄 050000

河北生殖妇产医院妇科,石家庄 050000

高危型人乳头瘤病毒 宫颈上皮内瘤变 阴道微生态情况

2020年度河北省医学科学研究重点课题计划项目

20201357

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(9)
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