中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
22期
57-59
,共3页
霉菌性阴道炎%制霉菌素片%阴道栓
黴菌性陰道炎%製黴菌素片%陰道栓
매균성음도염%제매균소편%음도전
Fungal vaginitis%Nystatin tablets%Vaginal suppository
目的：对比分析口服药物及外用药物治疗霉菌性阴道炎的临床疗效。方法收集2014年3月~2015年3月我院收治的霉菌性阴道炎患者102例，将其分为A组、B组两组，各51例。A组口服制霉菌素片、氟康唑片治疗，口服；B组外用硝呋太尔-制霉菌素阴道栓治疗，比较两组患者的临床疗效、临床症状体征改善情况、复发情况。结果 A组总有效率、治疗结束时分泌物检查阴性率与B组比较差异无统计学意义(P跃0.05)。 A组外阴瘙痒、灼痛、阴道分泌物减少或消失等临床症状体征缓解时间长于B组，治疗后4周分泌物检查阴性情况高于B组，复发率低于B组(P<0.05)。结论口服制霉菌素片、外用硝呋太尔-制霉菌素阴道栓治疗霉菌性阴道炎临床效果相近，外用治疗能快速改善患者的临床症状，缩短治疗时间，近期疗效较好，口服治疗复发率较低，远期疗效较好，建议综合应用，以达到最佳的治疗效果。
目的：對比分析口服藥物及外用藥物治療黴菌性陰道炎的臨床療效。方法收集2014年3月~2015年3月我院收治的黴菌性陰道炎患者102例，將其分為A組、B組兩組，各51例。A組口服製黴菌素片、氟康唑片治療，口服；B組外用硝呋太爾-製黴菌素陰道栓治療，比較兩組患者的臨床療效、臨床癥狀體徵改善情況、複髮情況。結果 A組總有效率、治療結束時分泌物檢查陰性率與B組比較差異無統計學意義(P躍0.05)。 A組外陰瘙癢、灼痛、陰道分泌物減少或消失等臨床癥狀體徵緩解時間長于B組，治療後4週分泌物檢查陰性情況高于B組，複髮率低于B組(P<0.05)。結論口服製黴菌素片、外用硝呋太爾-製黴菌素陰道栓治療黴菌性陰道炎臨床效果相近，外用治療能快速改善患者的臨床癥狀，縮短治療時間，近期療效較好，口服治療複髮率較低，遠期療效較好，建議綜閤應用，以達到最佳的治療效果。
목적：대비분석구복약물급외용약물치료매균성음도염적림상료효。방법수집2014년3월~2015년3월아원수치적매균성음도염환자102례，장기분위A조、B조량조，각51례。A조구복제매균소편、불강서편치료，구복；B조외용초부태이-제매균소음도전치료，비교량조환자적림상료효、림상증상체정개선정황、복발정황。결과 A조총유효솔、치료결속시분비물검사음성솔여B조비교차이무통계학의의(P약0.05)。 A조외음소양、작통、음도분비물감소혹소실등림상증상체정완해시간장우B조，치료후4주분비물검사음성정황고우B조，복발솔저우B조(P<0.05)。결론구복제매균소편、외용초부태이-제매균소음도전치료매균성음도염림상효과상근，외용치료능쾌속개선환자적림상증상，축단치료시간，근기료효교호，구복치료복발솔교저，원기료효교호，건의종합응용，이체도최가적치료효과。
Objective To compare the clinical efficacy of fungal vaginitis treated with oral medication and external drug. Methods A total of 102 cases with fungal vaginitis were collected from March 2014 to March 2015 in our hospi-tal, they were divided into group A and group B, each group had 51 cases. Group A was treated with oral medications, oral nystatin tablets and fluconazole tablets; Group B was treated with topical medications, Nifuratel-nystatin vaginal suppositories vaginal drugs was used, the clinical efficacy, the improvement of clinical symptoms and signs, recurrence of two groups were compared. Results The total effective rate and secretions negative rate in group A at the end of treatment had no significant difference compared with group B (P>0.05). The genital itching, burning, vaginal secretions decrease or disappearance time of group A were longer than group B, secretions negative situation after 4 weeks of treatment was higher than group B, the recurrence rate was lower than group B(P<0.05). Conclusion Nystatin oral tablets and topical Nifuratel-Nystatin vaginal suppository in treatment of fungal vaginitis have similar clinical effects, topical treatment can quickly improve the clinical symptoms and shorten the treatment time, the recent effect is good, oral treatment relapse rate is lower, and has better long-term outcome, the proposed comprehensive application in order to achieve the best therapeutic effect.
