更年期年龄和状态的关系,与阴道阴道出血性事件有关

Dono Setya Budhi, Didik Wahyudi
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摘要

细菌性阴道病(Bacterial Vaginosis, BV)是阴道生态系统失衡的一种状态,即乳酸菌数量减少,而后阴道加德纳菌等厌氧菌数量增加。由于印度尼西亚属于热带气候,大约90%的印度尼西亚妇女有可能出现阴道分泌物,而且发病率每年继续增加,最高可达70%。本研究的目的是确定年龄和绝经状态与阴道患者细菌性阴道病发病率之间的关系。本研究采用观察分析的方法,探讨年龄、绝经状态与阴道患者细菌性阴道病发病率的关系。样本数量为28例。采用革兰氏染色法诊断细菌性阴道病,然后将所发现细菌的三种形态(大型革兰氏阳性棒、小型革兰氏变棒和弯曲的革兰氏阴性棒/革兰氏变棒)加在一起进行神经评分系统。数据分析采用fisher精确检验。研究结果显示,BV阳性检出率为67.9%,51岁以上患者占90.9%,绝经期患者占90.9%。fisher精确检验分析显示,年龄的p值= 0.020 (p <0.05),绝经状态的p值= 0.049 (p <0.05),年龄和绝经状态与细菌性阴道病的发病率有相关性。
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Hubungan Usia dan Status Menopause dengan Kejadian Bacterial Vaginosis pada Pasien Keputihan
Bacterial Vaginosis (BV) is a condition of imbalance in the vaginal ecosystem, namely decreased number Lactobacillus followed by an increase in numbers Gardnerella vaginalis and other anaerobic bacteria. About 90% of Indonesian women have the potential to experience vaginal discharge because Indonesia has a tropical climate and the incidence continues to increase every year up to 70%. The purpose of this research was to determine the correlation between age and menopausal status with the incidence bacterial vaginosis in vaginal patients. This research method is observational analytic, looking at the correlation between age and menopausal status with incidence bacterial vaginosis in vaginal patients. The number of samples used was 28 patients. Diagnosis bacterial vaginosis was carried out using the Gram staining method then a nugent scoring system was carried out by adding up the three morphological forms of bacteria found (large-sized Gram-positive rods, small-sized Gram-variable rods and bent Gram-negative rods/Gram-variable rods). Data analysis used fisher's exact test. Based on the results of the research, the prevalence of positive BV was 67.9% with the most characteristics of patients aged over 51 years at 90.9%, menopause at 90.9%. The fisher's exact test analysis showed a p-value for age = 0.020 (p <0.05) and a p-value for menopausal status = 0.049 (p <0.05), There is a correlation between age and menopausal status with the incidence bacterial vaginosis.
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