妇科门诊细菌性阴道病的调查及治疗.docVIP

妇科门诊细菌性阴道病的调查及治疗 【关键词】 妇科 【摘要】 目的 了解细菌性阴道病（bacterial vaginosis，BV）在妇科门诊的患病率及探讨治疗方法。 方法 2004年4月～6月妇科门诊病人按改良多胺BV快速诊断盒进行白带化验。256例BV患者随机分为两组，观察组予奥硝唑2片，每日2次，口服，7天一疗程，夫妇同治;对照组予甲硝唑0.4g，每日3次口服，7天一疗程，夫妇同治。停药1周后复查白带。 结果 BV在妇科门诊的患病率为24.95%，BV患者中的57.36%无明显白带增多症状，而以不孕、腹痛、流产前、产后常规检查时发现。奥硝唑组治愈率明显高于甲硝唑组（P0.01），副作用明显低于甲硝唑组（P0.01）。 结论 BV患者因临床症状不典型易漏诊，建议门诊医生应提高对其重视。奥硝唑治疗效果好，副作用小。 关键词 细菌性阴道病 发病率 治疗 奥硝唑 The portion of sickness of bacterial vaginosis and the remedial method Fu Lixia，Guo Zhuai，Wang Haiyan Peoples Central Hospital Huizhou，Guangdong516002. 【Abstract】 Objective To realize the portion of sickness of bacterial vaginosis and the remedial method.Methods During April to June in2004，gynecological patients leucorrhea were assaied by means of reformed quick test box for bacterial vaginosis，256patients of BV were divided into groups，observed group eat ornidazole tablet2#bid，7days as on period of treatment，curing couples simultaneously，comparison group eat metronidazole0.4tid，7days as on period of treatment，curing couples simultaneously.leucorrhea was assaied again in one week after stopping eating medicines.Results The rate of sickness of bacterial vaginosis is24.95%，57.36%of BV patients have no the symp-tom of apparent increase of leucorrhoea.And the following conclusion observed in normal testing of acyesis，abdominal pain，before abortion and after abortion.The rate of heal of ornidazole tablets group is apparently higher than that of metronidazole group（P0.01），side-effect is apparent lower than that of metronidazole group（P0.01）.Conclu-sion BV patients are easy to be omitted because of the clinical symptom not being typical，suggesting that clinical doctors should pay more attention to it.The cure effect of ornidazole tablets is good and the side-effect is less. Key words bacterial vaginosis sickness rate cure ornidazole 细菌性阴道病（bacterial vaginosis，BV）是生育年龄妇女最常见的阴道感染，占外阴、阴道感染的40%～50%。所谓细菌性阴道病，因为本病有明显的异常大量的厌氧菌和需氧菌生长，并以厌氧菌为主，迄今，无法肯定引起BV的特异性细菌。因BV患者相当一部分无外阴不适等自觉症状，易漏诊，可引起宫