Nghiên cứu lâm sàng, căn nguyên hội chứng tiết dịch âm đạo tại Bệnh viện Da liễu Trung ương

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Tác giả: Thị Thu Hiền Đỗ, Thị Thu Dương, Hạ Long Hải Lê, Hữu Doanh Lê, Thị Hà Vinh Nguyễn, Đình Hòa Phạm, Quỳnh Hoa Phạm, Thị Huyền Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 618.1 Gynecology

Thông tin xuất bản: Da liễu học Việt Nam, 2023

Mô tả vật lý: 64-73

Bộ sưu tập: Metadata

ID: 502175

Thêm vào giỏ

Hội chứng tiết dịch âm đạo là tình trạng bệnh lý hay gặp ở phụ nữ trong độ tuổi sinh đẻ, có thể do nhiễm trùng lây truyền qua đường tình dục hoặc không lây truyền qua đường tình dục. Tình trạng này gây ra nhiều rối loạn, ảnh hưởng đến sức khỏe, đời sống, khả năng lao động và đặc biệt là sức khỏe sinh sản. Nghiên cứu của chúng tôi nhằm khảo sát đặc điểm lâm sàng, căn nguyên của hội chứng tiết dịch âm đạo trên những bệnh nhân đến khám tại Bệnh viện Da liễu Trung ương. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang được thực hiện trên 260 bệnh nhân đến khám vì hội chứng tiết dịch âm đạo tại Bệnh viện Da liễu Trung ương từ tháng 10/2022 đến tháng 4/2023. Kết quả: Trong tổng số 260, phần lớn là trong độ tuổi 20 - 29 tuổi (56,9%), có đặc điểm ra khí hư màu trắng (90,4%) và có triệu chứng ngứa (55%). 51,1% bệnh nhân phát hiện được căn nguyên vi sinh. Tác nhân vi sinh vật gây tiết dịch âm đạo theo thứ tự như sau: Candida (49,6%), viêm âm đạo do vi khuẩn (28,6%), Neisseria gonorrhoeae (3%), Chlamydia trachomatis (1,5%) và Trichomonas vaginalis (0%). Kết luận: Hội chứng tiết dịch âm đạo là bất thường phổ biến ở phụ nữ trong độ tuổi hoạt động tình dục, đặc biệt là nhóm phụ nữ trẻ tuổi với triệu chứng lâm sàng chủ yếu là ra khí hư màu trắng. Nhiễm nấm Candida là căn nguyên phổ biến nhất, theo sau là viêm âm đạo do vi khuẩn.Normal vaginal discharge is a normal physiological process that can become abnormal due mostly to sexually and non-sexually transmitted infections. This study determined the pattern, sociodemographic, pathogens of abnormal vaginal discharge among women attending National Hospital of Dermatology and Venereology in Viet Nam. Materials and methods: This cross-sectional descriptive study was carried out among 260 abnormal vaginal discharged patients aged between 15 and 49 visiting National Hospital of Dermatology and Venereology from 10/2022 to 4/2023. Results: Majority of the women was young adults aged from 21 to 29 years (56.9%), had whitish virginal discharge (90.4%) and had experienced complaint of iching (55%). Microorganisms were detected in 51.1% (133) of a total 260 female patients studied. Candida albicans was the pathogen most isolated (49.6%), followed by Gardnerella vaginalis (28,6%), Neisseria gonorrhoeae (3%), Chlamydia trachomatis (1.5%) and Trichomonas vaginalis (0%). Conclusions: Abnormal vaginal discharge is a common complaint among women. Majority had whitish virginal discharge and had experienced complaint of iching. Microorganisms of infective vaginal discharge were Candida species, followed by Gardnerella vaginalis - a pathogen of bacterial vaginosis. We recommend prevention, early diagnosis and prompt treatment of infected female, especially among the young, sexually active group.

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