Correlation between high-risk HPV infection and bacterial vaginosis in gynecological outpatient department / 中国基层医药

ABSTRACT

Objective@#To explore the correlation between high-risk human papillomavirus (HPV) infection and bacterial vaginosis in gynecological outpatient department.@*Methods@#From January 2017 to June 2017, 1 563 cases of gynecologic outpatient who underwent vaginal microecological examination and HPV examination in Jiaxing Maternal and Child Health Care Center were selected to analyze the infection rate of high-risk HPV in different age groups.The 1 563 patients were divided into high-risk HPV positive group and negative group.The vaginal microecological indicators and the incidence of bacterial vaginosis in the two groups were analyzed.@*Results@#Among the 1 563 patients, 385 caes were positive for high-risk HPV, the positive rate was 24.63%.The positive rate of high-risk HPV infection increased with age.There wereno statistically significant differences in pH > 4.5, hydrogen peroxide and leukocyte esterase positive rate between high-risk HPV positive group and negative group (40.52% vs.59.48%, 59.74% vs.40.26%, 51.17% vs.48.83%)(χ2=1.625, 0.188, 3.61, all P>0.05), but there was statistically significant difference in sialidase positive rate (12.47% vs.87.53%)(χ2=39.015, P<0.05). The incidence rate of bacterial vaginosis and the positive rate of microecology in the high-risk HPV positive group were significantly higher than those in the negative group (12.73% vs.6.03%, 8.83% vs.3.65%)(χ2=18.377, 16.629, all P<0.05).@*Conclusion@#High-risk HPV infection is closely related to female bacterial vaginitis, so it is necessary to pay more attention to the treatment of bacterial vaginosis, restore the balance of vaginal microenvironment, and enhance the vaginal and cervical immunity to further reduce high-risk HPV infection.