中药联合乳酸菌制剂治疗细菌性阴道病疗效观察.docVIP

中药联合乳酸菌制剂治疗细菌性阴道病的疗效观察 马连英，徐景秋，鲁宪凯 （玉田县中医医院，妇产科，河北省唐山市玉田县北环东路282号 064100） 【摘要】 目的：探讨中药联合乳酸菌制剂治疗细菌性阴道病的疗效。 方法：选择玉田县中医院2009年6月至2011年6月间妇科门诊患者210人，随机分为3组：A组用甲硝唑治疗，B组用甲硝唑联合乳酸菌阴道胶囊治疗，C组用中药圣洁汤（自拟方）联合乳酸菌阴道胶囊治疗，观察治疗后的有效率及复发情况。结果：B,C两组疗效接近，明显高于A组，且复发率低，（P0.05）, 差异有显著性；C组无1例患者出现不良反应。 结论：中药（自拟方圣洁汤）联合乳酸菌制剂治疗细菌性阴道病疗效显著，复发率低且无副反应。 【关键词】 细菌性阴道病 甲硝唑 乳酸菌阴道胶囊 中药圣洁汤 Efficacy on the combination of Traditional Chinese medicine and lactobacillus for treatment bacterial vaginosis Ma Lian-ying ,Xu Jing-qiu ,Lu Xian-Kai Yutian Chinese Medicine Hospital, Obstetrics and Gynecology, Tangshan City, Hebei Yutian North East Road No.282 064100 【Abstract】Objective: To study traditional Chinese medicine combined lactobacillus treatment of bacterial vaginosis treatment. Methods: Yutian County Hospital from June 2009 to June 2011 among 210 patients with gynecological clinic, were randomly divided into 3 groups: A group treated with metronidazole, B group lactic acid bacteria with metronidazole vaginal capsule, C holy soup with Chinese medicine group (self-made side) combined with lactic acid bacteria vaginal capsule, observed after treatment of an efficient and recurrence. Results: B, C two groups close to significantly higher than group A, and the recurrence rate is low, (P 0.05), the difference was statistically significant; C group 1 patient without adverse reactions. Conclusion: Chinese herbal medicine (self Fang Shengjie soup) joint lactobacillus treatment of bacterial vaginosis significant effect, the recurrence rate and no side effects. 【Keyword】Bacterial vaginosis ； Metronidazole；Lactobacillus vaginal capsules ；Chinese holy soup 细菌性阴道病是育龄妇女最常见的阴道感染性疾病，是由于阴道正常菌群被阴道加特纳菌，厌氧菌，人型支原体构成的混合菌群所取代，造成菌群失调而引起的疾病［1］ 。细菌性阴道病时，阴道内乳酸杆菌减少而其他细菌大量繁殖，其中以厌氧菌居多，治疗时因药物抗菌谱的限制而致疗效不佳或反复发作。细菌性阴道病的发生与阴道微生态的失衡有关，因此利用微生态制剂恢复阴道内乳杆菌的主导地位已成为当今治疗细菌性阴道病的新策略。本试验分别采用了甲硝唑及中药圣洁汤联合乳酸菌阴道胶囊治疗细菌性阴道病取得了满意的疗效，现报告如下： 资料与方法 1.1一般资料：玉田县中医院2009年6月至2011年6月间妇科门诊患者210名（均为已婚妇女），采集阴道分泌物实验室检查。排除霉菌性，滴虫性阴道炎，排除肝，肾，心脏，造血系统及神经系统疾病患者，排除妊娠期，哺乳期及有过