مقایسه روش بالینی و آزمایشگاهی در تشخیص عفونت تریکومونایی مهبل

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، گروه مامایی، دانشگاه آزاد اسلامی قوچان، قوچان، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: واژینیت تریکومونائی سومین علت شایع التهاب مهبل است. تشخیص واژینیت تریکومونایی از آنجایی که
علائمی شبیه به دیگر بیماری های منتقله جنسی دارد و روش معاینه دقیقی برای تشخیص آن وجود ندارد، آسان
نیست. منابع معتبر به این موضوع اشاره دارند که جهت تشخیص عفونت تریکومونایی مهبل صرفاً علائم و نشانه های
بالینی کافی نیست و تشخیص قطعی آن باید بر اساس تست های آزمایشگاهی صورت گیرد. مطالعه حاضر با هدف
مقایسه روش بالینی و آزمایشگاهی در تشخیص عفونت تریکومونایی مهبل انجام شد.
روشکار: این مطالعه مشاهده ای در سال 1387 بر روی 550 زن با علائم عفونت مهبلی انجام شد. در صورتی که
بیماری با علائم و نشانه های عفونت مهبلی مراجعه و واجد شرایط ورود به مطالعه بود، مورد معاینه قرار می گرفت و
نمونه ای از ترشحات واژن آن جهت آزمایش اسمیر مرطوب گرفته می شد. داده ها با استفاده از فرم های مشاهده و
مصاحبه گردآوری و به وسیله نرم افزار آماری SPSS (نسخه 14/5) و با کمک آزمون های توصیفی مورد تجزیه و
تحلیل قرار گرفت.
یافتهها: از 550 زن مبتلا به عفونت مهبلی، 54 مورد از نظر عفونت تریکومونایی مهبل مثبت بودند. فراوانی عفونت
در جمعیت مورد مطالعه بر اساس مشاهده بالینی 14/54 درصد بود؛ در حالی که بر مبنای تشخیص میکروسکوپی
9/81 درصد بیماران تریکوموناس مثبت بودند. 10/18 درصد از بیمارانی که به وسیله مشاهده بالینی تریکومونا مثبت
بودند، مشاهده میکروسکوپی آنها منفی بود. نتایج مطالعه نشان داد 5/45 درصد از موارد تشخیص بالینی غیر
تریکومونائی در بررسی میکروسکوپی تریکومونا مثبت تشخیص داده شدند.
نتیجهگیری: عدم کاربرد روش های آزمایشگاهی در تشخیص بیماران مبتلا به عفونـت مهبلـ ی، منجـر بـه تشـخ یص
نادرست می شود و پیشنهاد می شود در تعیین عفونت تریکومونایی مهبل به نتایج آزمایشگاهی اکتفـا نمـود تـا دقـت
تشخیصی افزایش یابد

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of Clinical and Laboratorial Method in Diagnosis of Trichomonas Vaginitis

نویسندگان [English]

  • Maliheh Dormohamadi 1
  • Nahid Golmakani 2
1 M.Sc. of Midwifery, Islamic Azad University of Ghuchan, Ghuchan, Iran.
2 Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical sciences, Mashhad, Iran.
چکیده [English]

Introduction: Trichomonas vaginalis is the third prevalent cause of vaginitis. Because of lack of precise diagnosing methods and the similarity of its symptoms with other STD, diagnosis of trichomoniasis is not an easy effort. Valid resources pointed out that diagnosis of trichomonas vaginitis merely based on clinical signs is not possible, but on the basis of the test results. Thereupon, this research is accomplished to compare clinical and laboratorial methods in diagnosis of trichomonas vaginitis.
Methods: This observational research was accomplished on 550 women with vaginitis infection. Eligible women with signs of vaginitis infection were examined and sample of vaginal discharge taken for wet smear testing. Data were gathered by means of interviews and observation forms, and analyzed by SPSS software version 14.5 and descriptive statistics.
Results: The tests performed on 550 patients suffering from vaginal infection shows that 54 cases of trichomoniasis were positive. According to the clinical observation of the subjects, 14.54% had infection; while on the basis of microscopic diagnosis 9.81% were trichomonas positive. 10.18% of the patients that were trichomonas positive in clinical observation, their microscopic observation result were negative. The result of investigations indicated that, 5.45% that were trichomonas negative in clinical observation, were positive in microscopic observation.
Conclusion: Lake of application of laboratorial method in identifying vaginitis patients may lead to incorrect diagnosis, so it is suggested to utilize laboratorial results in precise diagnosis.

کلیدواژه‌ها [English]

  • Clinical Diagnosis
  • Laboratorial diagnosis
  • Trichomoniasis
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