Thực trạng và kết quả điều trị nhiễm trùng đường sinh dục dưới ở bệnh nhân đến khám phụ khoa tại Bệnh viện Trường Đại học Y dược Thái Nguyên

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Tác giả: Hải Linh Hồ, Thị Hường Hoàng, Hồng Hà Hứa, Mỹ Hoài Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 618.1 Gynecology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 64-69

Bộ sưu tập: Metadata

ID: 499089

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Mô tả thực trạng viêm nhiễm sinh dục dưới và đánh giá kết quả điều trị ở bệnh nhân khám phụ khoa tại bệnh viện Trường đại học Y -Dược Thái Nguyên. Đối tượng: 150 bệnh nhân được khám và chẩn đoán viêm nhiễm sinh dục dưới bằng lâm sàng và xét nghiệm dịch âm đạo tại BV Trường Đại học Y khoa Thái Nguyên. Phương pháp nghiên cứu: Mô tả cắt ngang. Kết quả: Tỷ lệ Nhiễm trùng sinh dục dưới (25,4%), đối tượng bệnh nhân nhiễm trùng đường sinh dục dưới ở độ tuổi trung bình 34,3 ±7,8 tuổi, chưa có chồng chiếm 12%
chưa sinh con chiếm 19,4%. Tỉ lệ nhiễm trùng âm đạo 79,3%, nhiễm trùng cổ tử cung 45,3%. Các tác nhân gây bệnh: nấm Candida 23,3%, Trichomonas vaginalis 8%, cầu khuẩn Gram dương 29,3%, trực khuẩn Gram âm 62,6%. Kết quả điều trị chung, tỷ lệ khỏi 62%, đỡ 38%. Kết quả điều trị khỏi theo nguyên nhân gây bệnh: Nấm Candida 71,4%
Gardnerella vaginalis 70%
Trichomonas vaginalis 75%
Chlamydia trachomatis 80%
cầu khuẩn Gram dương 77,3%
Trực khuẩn Gram âm 84%.To describe current situation of lower genital tract infections and assess results of treatments among female outpatients at the Department of Gynaecology of Thai Nguyen University of Medicine and Pharmacy Hospital. Methods: A cross-sectional study of female outpatients was conducted at the Department of Gynaecology of Thai Nguyen University of Medicine and Pharmacy Hospital. 150 female patients diagnosed with lower genital tract infections were selected for this study. Pelvic examination and bacterial vaginosis tests were evaluated for diagnosis of lower genital tract infections. Results: Among female outpatients representing at Department of Gynaecology for gynaecology exams, there were 150 (25.4%) patients diagnosed with lower genital tract infections. Among 150 patients, the mean age was 34.3±7.8, 12% female were single, 19.4% female had been not pregnant. The number of patients getting vaginitis was 79.3%, and cervicitis was 45.3%. The proportion of lower genital tract infections caused by Candida was 23.3%, Trichomonas vaginalis was 8%, Gram-positive bacteria was 29.3% and Gram-negative bacteria was 62.6%. Of 150 women, 62% patients made complete recovery while 38% made incomplete recovery. The percentage of complete recovery from lower genital tract infections caused by Candida was 71.4%, Gardnerella vaginalis was 70%, Trichomonas vaginalis was 75%, Chlamydia trachomatis was 80%, Gram-positive bacteria was 77.3% and Gram-negative bacteria was 84%.

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