国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
1期
31-33
,共3页
病原体%外阴阴道假丝酵母菌%衣原体%支原体%氟康唑
病原體%外陰陰道假絲酵母菌%衣原體%支原體%氟康唑
병원체%외음음도가사효모균%의원체%지원체%불강서
Pathogen%Vulvovaginal candidiasis%Chlamydia%Mycoplasma%Fluconazole
目的 探讨彻底治愈顽固性外阴阴道假丝酵母菌病的有效治疗方法.方法 将本组132例病人随机分成观察组与对照组各66例,观察组在进行阴道假丝酵母菌检测的基础上另行衣原体及支原体检测.全部病人均给予氟康唑及达克宁栓,在此基础上,观察组66例病人需再给予抗支原体以及衣原体治疗措施.结果 观察组66例病人均检出阴道假丝酵母菌,同时检出37例支原体及5例衣原体,衣原体+支原体2例.对照组66例同样全部检出阴道假丝酵母菌,但未检测衣原体与支原体.观察组62例治愈,占93.94％;3例好转,占4.55％;1例无效,占1.51％.对照组32例治愈,占48.48％；22例好转,占33.33％；12例无效,占18.18％.观察组的疗效明显优于对照组,差异有显著性(Hc=18.90,P＜0.05).结论 在复发性阴道炎的治疗过程中,必须在综合治疗的基础上,做好病原体的检测工作,针对发病原因实施治疗,才能彻底治愈复发性阴道炎.
目的 探討徹底治愈頑固性外陰陰道假絲酵母菌病的有效治療方法.方法 將本組132例病人隨機分成觀察組與對照組各66例,觀察組在進行陰道假絲酵母菌檢測的基礎上另行衣原體及支原體檢測.全部病人均給予氟康唑及達剋寧栓,在此基礎上,觀察組66例病人需再給予抗支原體以及衣原體治療措施.結果 觀察組66例病人均檢齣陰道假絲酵母菌,同時檢齣37例支原體及5例衣原體,衣原體+支原體2例.對照組66例同樣全部檢齣陰道假絲酵母菌,但未檢測衣原體與支原體.觀察組62例治愈,佔93.94％;3例好轉,佔4.55％;1例無效,佔1.51％.對照組32例治愈,佔48.48％；22例好轉,佔33.33％；12例無效,佔18.18％.觀察組的療效明顯優于對照組,差異有顯著性(Hc=18.90,P＜0.05).結論 在複髮性陰道炎的治療過程中,必鬚在綜閤治療的基礎上,做好病原體的檢測工作,針對髮病原因實施治療,纔能徹底治愈複髮性陰道炎.
목적 탐토철저치유완고성외음음도가사효모균병적유효치료방법.방법 장본조132례병인수궤분성관찰조여대조조각66례,관찰조재진행음도가사효모균검측적기출상령행의원체급지원체검측.전부병인균급여불강서급체극저전,재차기출상,관찰조66례병인수재급여항지원체이급의원체치료조시.결과 관찰조66례병인균검출음도가사효모균,동시검출37례지원체급5례의원체,의원체+지원체2례.대조조66례동양전부검출음도가사효모균,단미검측의원체여지원체.관찰조62례치유,점93.94％;3례호전,점4.55％;1례무효,점1.51％.대조조32례치유,점48.48％；22례호전,점33.33％；12례무효,점18.18％.관찰조적료효명현우우대조조,차이유현저성(Hc=18.90,P＜0.05).결론 재복발성음도염적치료과정중,필수재종합치료적기출상,주호병원체적검측공작,침대발병원인실시치료,재능철저치유복발성음도염.
Objective To explore effective therapies to eradicate vulvovaginal candidiasis.Methods 132 patients were randomly divided into study group and control group,66 for each group.The study group received detection of chlamydia and mycoplasma in addition to candida detection.All the patients were administered fluconazole and Gyno-Daktarin pessaries; and the patients in the study group received additional therapies for infection with mycoplasma and chlamydia.Results In the study group,candida was detectable in all the patients; mycoplasma alone or chlamydia alone was found in 37 and 5,respectively; and coinfection with mycoplasma and chlamydia was found in 2.Candida was also detectable in all the patients in the control group, but no mycoplasma and chlamydia were found.62 ( 93.94％ )patients were cured in the study group,3 ( 4.55％ ) had symptom improvement,and one ( 1.51％ ) had no response; while 32 ( 48.48％ ) patients were cured in the control group,22 ( 33.33％ ) had symptom improvement,and 12 ( 18.18％ )had no response.The study group was markedly superior to the control group in the efficacy ( Hc =18.90,P ＜ 0.05 ).Conclusions To completely cure recurrent vaginitis,it was important to detect the possible pathogens and to manage this disorder by targeting the pathogen.
