阴道用乳杆菌活菌胶囊、百艾洗液联合 苦参膜治疗混合性阴道炎患者的疗效
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(1.晋江市中西医结合医院,福建 晋江 362200)

作者简介:

吴雅东,女,主治医师,主要从事妇产科工作。

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R 711.73

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Efficacy of Vaginal Lactobacilli Live Capsule, Baiai Lotion Combined with Kushen Membrane in the Treatment of Patients with Mixed Vaginitis
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(1.Jinjiang Hospital of Integrated Traditional Chinese and Western Medicine, Fujian Jinjiang 362200)

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    摘要:

    摘 要目的:研究阴道用乳杆菌活菌胶囊、百艾洗液联合苦参膜治疗混合性阴道炎患者的临床效果。 方法:选择 2021 年 1 月至 2022 年 2 月期间晋江市中西医结合医院收治的 60 例混合性阴道炎患者,随机分为观察组与对照组, 各 30 例,对照组患者采用阴道用乳杆菌活菌胶囊治疗,观察组患者在对照组的基础上联合百艾洗液及苦参膜治疗。 比较两组患者治疗总有效率、不良反应发生率、复发率以及治疗前后阴道菌群恢复过程和结果中炎症因子水平。 结果:观察组患者总有效率高于对照组,不良反应发生率及复发率低于对照组,差异均具有统计学意义(P < 0.05)。 治疗后,观察组患者乳酸杆菌中活菌数高于对照组,肠杆菌、酵母菌中活菌数低于对照组,血清 C 反应蛋白(CRP)、 白细胞介素 –6(IL–6)、肿瘤坏死因子 –α(TNF–α)、白细胞介素 –8(IL–8)水平显著低于对照组,差异均具有统 计学意义(P < 0.05)。 结论:混合性阴道炎患者通过阴道用乳杆菌活菌胶囊、百艾洗液联合苦参膜治疗,可更有效 地改善临床症状和炎症反应,且复发率低。

    Abstract:

    AbstractObjective To study the clinical effect of vaginal lactobacillus live capsule, Baiai lotion combined with Kushen membrane in the treatment of patients with mixed vaginitis. Methods A total of 60 patients with mixed vaginitis admitted to Jinjiang Hospital of Integrated Traditional Chinese and Western Medicine from January 2021 to February 2022 were randomly divided into an observation group and a control group with 30 cases in each group. The control group was treated with vaginal lactobacillus live capsule, and the observation group was treated with Baiai lotion and Kushen membrane on the basis of the control group. The total effective rate, incidence of adverse reactions, recurrence rate, and the levels of inflammatory factors in the recovery process of vaginal flora and results before and after treatment were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group, and the incidence of adverse reactions and recurrence rate were lower than those of the control group, and the differences were statistically significant (P < 0.05). After treatment, the number of viable Lactobacillus in the observation group was higher than that in the control group, the number of viable enterobacter and yeast in the observation group was lower than that in the control group, and the serum levels of C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and interleukin-8 (IL-8) were significantly lower than those in the control group, the differences were statistically significant (P < 0.05). Conclusion Patients with mixed vaginitis treated with vaginal lactobacillus live capsule and Bacitracin lotion combined with Kushen membrane can more effectively improve the clinical symptoms and inflammatory response, and the recurrence rate is low.

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  • 收稿日期:2022-10-07
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  • 在线发布日期: 2023-06-05
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