CAJ | 학술논문

目的：观察中西医结合治疗女性生殖道细菌性阴道病感染的临床疗效，为临床中治疗该病提供参考依据。方法选取2012年1月－2014年1月150例女性生殖道细菌性阴道病感染患者为研究对象，将其按照随机数字法分为3组，各50例，中医组患者给予中药治疗，西医组患者给予替硝唑治疗，联合组患者给予中西医结合治疗，观察3组的临床治疗效果。结果经过3组的临床治疗效果对比分析，临床治疗有效率中医组为66．0％、西医组为62．0％、联合组为92．0％，中医组与西医组的临床治疗有效率比较差异无统计学意义，联合组的临床治疗有效率明显的高于中医组和西医组，差异有统计学意义（ P＜0．05）；不良反应发生率中医组为20．0％、西医组为14．0％、联合组为4．0％；联合组不良反应发生率明显的低于中医组和西医组的不良反应发生率，差异有统计学意义（P＜0．05）。结论临床中对于女性生殖道细菌性阴道病感染患者实施中西医结合治疗效果显著，能够有效的提高临床疗效，不良反应少、治疗安全性高，值得临床中应用与推广。
목적：관찰중서의결합치료녀성생식도세균성음도병감염적림상료효，위림상중치료해병제공삼고의거。방법선취2012년1월－2014년1월150례녀성생식도세균성음도병감염환자위연구대상，장기안조수궤수자법분위3조，각50례，중의조환자급여중약치료，서의조환자급여체초서치료，연합조환자급여중서의결합치료，관찰3조적림상치료효과。결과경과3조적림상치료효과대비분석，림상치료유효솔중의조위66．0％、서의조위62．0％、연합조위92．0％，중의조여서의조적림상치료유효솔비교차이무통계학의의，연합조적림상치료유효솔명현적고우중의조화서의조，차이유통계학의의（ P＜0．05）；불량반응발생솔중의조위20．0％、서의조위14．0％、연합조위4．0％；연합조불량반응발생솔명현적저우중의조화서의조적불량반응발생솔，차이유통계학의의（P＜0．05）。결론림상중대우녀성생식도세균성음도병감염환자실시중서의결합치료효과현저，능구유효적제고림상료효，불량반응소、치료안전성고，치득림상중응용여추엄。
OBJECTIVE To observe the clinical efficacy of combined treatment of traditional Chinese medicine and western medicine for female reproductive tract bacterial vaginosis ,so as to provide reference for clinical treatment of this disease .METHODS Totally 150 cases of female reproductive tract bacterial vaginosis from Jan .2012 to Jan .2014 were selected and divided into three groups according to the random number method ,with 50 cases in each group .The TCM group was given traditional Chinese medicine (TCM ) ,the western medicine group Tini‐dazole ,and the combined group integrative medicine .Clinical effects in the three groups were observed .RESULTS The comparative analysis of clinical effects in the three groups showed that the effective rate was 66 .0% in the TCM group ,62 .0% in the western medicine group and 92 .0% in the combined group .Thus ,there was no signif‐icant difference in the effective rate between the TCM group and the western medicine group ,while the effective rate was significently higher in the combined group than in the other two groups (P<0 .05) .The incidence of ad‐verse reactions was 20 .0% in the TCM group ,14 .0% in the western medicine group and 4 .0 % in the combined group ,indicating that the incidence of adverse reactions was significantly lower in the combined group than in the other two groups (P<0 .05) .CONCLUSION The clinical combined treatment of traditional Chinese medicine and western medicine is effective for female reproductive tract bacterial vaginosis ,which can effectively improve the clinical efficacy with few adverse reactions and high treatment safety and is worthy of clinical application and pro‐motion .