乔娜+范淑静+郭彩萍

【摘要】目的：研究女性阴道微生态状况对女性性生活质量的影响。方法：选取2012年4月至2015年4月于我院妇科门诊或体检中心进行检查的156例女性作为受试对象，根据阴道微生态相关检测后，将受试对象分为阴道微生态状况正常组和异常组。所有受试对象采用中国女性性生活质量问卷调查和女性性功能指数（FASI）评价性功能。统计分析阴道微生态状况异常组和正常组受试对象在性生活质量及性功能上的区别。 结果：经过检测，156例样本中，54例为阴道微生态状况正常，102例阴道微生态状况异常，其中异常的主要原因为乳酸杆菌未检出，及H2O2浓度低于临界值。中国女性性生活质量问卷调查的结果表明，阴道微生态正常组显著优于异常组；FSFI的结果也表明阴道微生态正常组在性功能各项指标上显著优于异常组。结论：乳酸杆菌检测阴性和H2O2浓度低是阴道微生态异常的主要原因，阴道微生态状况与女性性生活质量显著相关，其原因可能与阴道微生态状况对性功能的影响相关。

【关键词】阴道微生态；性生活质量；性功能

Effect of vaginal microflora status on the quality of female sexual lifeQIAO Na，FAN Shujing， GUO Caiping. The Second Ward of Department of Obstetrics and Gynecology， Yanan Peoples Hospital， Yanan 716000， Shaanxi， China

【Abstract】Objectives： To study the effect of female vaginal microflora status on the quality of female sexual life. Methods： 156 women examined in our hospital from April 2012 to April 2015 were selected and according to the vaginal microflora correlation detection， were divided into normal vaginal microflora status group and abnormal group. The sexual function of all subjects was evaluated using Chinese quality of female sexual life questionnaire and the Female Sexual Function Index （FASI）. Differences in quality of sexual life and sexual function between the two groups were surveyed. Results： Of the 156 samples， there were 54 cases of normal vaginal microflora status and 102 cases of abnormal vaginal microflora status， which was mainly due to abnormal lactobacilli not detected， and the concentration of H2O2 below the critical value. According to the Chinese quality of female sexual life questionnaire， the result of normal vaginal microflora group was significantly better than the abnormal group； FSFI results also showed that the normal vaginal microflora group was significantly better than the abnormal group on sexual function indexes. Conclusion： Negative lactobacillus detection result and low concentrations of H2O2 are the main reasons of abnormal vaginal microflora status， and the vaginal microflora status is significantly related with the quality of female sexual life， which may be related to its effect on sexual function.

【Key words】Vaginal microflora； Quality of sexual life； Sexual function

【中图分类号】R711.31【文献标志码】A

生殖器感染是妇科临床最常见的疾病，由于发病率高，传染风险大，在临床上受到高度的重视[1]。现有的研究已经证实，阴道中存在着有需氧菌群和厌氧菌群组成的阴道菌群，同阴道局部解剖结构、局部免疫状态和微生物菌群共同构成阴道微生态稳态。随着微生物培养和鉴别技术的不断发现，现已在健康妇女阴道中发现阴道中包含各种细菌、原虫、支原体和真菌等，以厌氧型居多[2]。……