医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
16期
56-57
,共2页
克霉唑阴道片%乳酸杆菌胶囊%妊娠%白念珠菌性阴道炎
剋黴唑陰道片%乳痠桿菌膠囊%妊娠%白唸珠菌性陰道炎
극매서음도편%유산간균효낭%임신%백념주균성음도염
Clotrimazole vaginal tablets%Lactobacil us capsules%pregnancy%Vulvovaginal candidiasis
目的：对比克霉唑阴道片和乳酸杆菌胶囊治疗妊娠合并白念珠菌性阴道炎的临床疗效差异及对阴道pH值的影响。方法选取2012年1月~2014年8月我院收治的110例妊娠期白念珠菌性阴道炎患者作为研究对象，采用随机数字表法将所选患者分为克霉唑组和乳酸杆菌组，各55例，克霉唑组给予克霉唑阴道片治疗，乳酸杆菌组给予乳酸杆菌胶囊治疗，综合比较两组患者治疗总有效率、临床症状、体征改善时间及治疗前阴道pH值变化情况。结果克霉唑组治疗总有效率为96.4%，高于乳酸杆菌组的83.6%(<0.05)；克霉唑组患者瘙痒、疼痛、烧灼感、白带异常、异常分泌物等临床症状、体征改善时间明显优于乳酸杆菌组(<0.05)；治疗后，克霉唑组阴道pH值为(3.7±0.7)，低于乳酸杆菌组的(4.0±0.5)<0.05)。结论 pH值可作为孕期白念珠菌性阴道炎的辅助诊断指标，克霉唑阴道片治疗妊娠合并白念珠菌性阴道炎效果确切，可有效降低阴道pH值，改善患者的临床症状。
目的：對比剋黴唑陰道片和乳痠桿菌膠囊治療妊娠閤併白唸珠菌性陰道炎的臨床療效差異及對陰道pH值的影響。方法選取2012年1月~2014年8月我院收治的110例妊娠期白唸珠菌性陰道炎患者作為研究對象，採用隨機數字錶法將所選患者分為剋黴唑組和乳痠桿菌組，各55例，剋黴唑組給予剋黴唑陰道片治療，乳痠桿菌組給予乳痠桿菌膠囊治療，綜閤比較兩組患者治療總有效率、臨床癥狀、體徵改善時間及治療前陰道pH值變化情況。結果剋黴唑組治療總有效率為96.4%，高于乳痠桿菌組的83.6%(<0.05)；剋黴唑組患者瘙癢、疼痛、燒灼感、白帶異常、異常分泌物等臨床癥狀、體徵改善時間明顯優于乳痠桿菌組(<0.05)；治療後，剋黴唑組陰道pH值為(3.7±0.7)，低于乳痠桿菌組的(4.0±0.5)<0.05)。結論 pH值可作為孕期白唸珠菌性陰道炎的輔助診斷指標，剋黴唑陰道片治療妊娠閤併白唸珠菌性陰道炎效果確切，可有效降低陰道pH值，改善患者的臨床癥狀。
목적：대비극매서음도편화유산간균효낭치료임신합병백념주균성음도염적림상료효차이급대음도pH치적영향。방법선취2012년1월~2014년8월아원수치적110례임신기백념주균성음도염환자작위연구대상，채용수궤수자표법장소선환자분위극매서조화유산간균조，각55례，극매서조급여극매서음도편치료，유산간균조급여유산간균효낭치료，종합비교량조환자치료총유효솔、림상증상、체정개선시간급치료전음도pH치변화정황。결과극매서조치료총유효솔위96.4%，고우유산간균조적83.6%(<0.05)；극매서조환자소양、동통、소작감、백대이상、이상분비물등림상증상、체정개선시간명현우우유산간균조(<0.05)；치료후，극매서조음도pH치위(3.7±0.7)，저우유산간균조적(4.0±0.5)<0.05)。결론 pH치가작위잉기백념주균성음도염적보조진단지표，극매서음도편치료임신합병백념주균성음도염효과학절，가유효강저음도pH치，개선환자적림상증상。
Objective To compare the dif erent ef ects between clotrimazole vaginal tablets and lactobacil us capsules for pregnancy infected with vulvovaginal candidiasis and the influence on changes of pH value.Methods 110 cases of pregnancy infected with vulvovaginal candidiasis in our hospital were randomly divided into clotrimazole vaginal tablet group and lactobacil us capsule group,each were 55 cases.Clotrimazole vaginal tablet group were treated with clotrimazole vaginal tablets.Lactobacil us capsule group were treated with lactobacil us capsule.The total ef ective rate,clinical symptoms and signs improved time and changes of pH value before and after treatment were compared.Results The total ef ective rate of clotrimazole vaginal tablet group was 96.4%%,which was higher than 83.6%of lactobacil us capsule group ( <0.05).Clinical symptoms and signs of itching,pain,burning sensation,abnormal vaginal discharge and abnormal secretions improved time of clotrimazole vaginal tablet group were bet er than lactobacil us capsule group( <0.05).After treatment,PH value of clotrimazole vaginal tablet group was(3.7±0.7),which was lower than(4.0±0.5)of lactobacil us capsule group ( <0.05).Conclusion pH value can be used as a diagnostic marker of pregnancy infected with vulvovaginal candidiasis.Clotrimazole vaginal tablets for pregnancy infected with vulvovaginal candidiasis has exact ef ect.It can ef ectively reduce the vaginal pH value and improve the clinical symptoms of patients.It's worthy of clinical widely used.
