不同方法治疗外阴阴道假丝酵母菌病合并妊娠效果观察.docVIP

不同方法治疗外阴阴道假丝酵母菌病合并妊娠的效果观察 　　[摘要] 目的 探讨不同方法治疗外阴阴道假丝酵母菌病（VVC）合并妊娠的临床效果。 方法 选取本院2012年1月～2014年1月门诊首次诊断为VVC合并妊娠的患者160例，将其随机分为对照组和观察组各80例。观察组采用西药克霉唑阴道片治疗，对照组采用中药保妇康栓治疗。两组均以1周为治疗疗程，2周后比较两组患者分泌物镜检下带菌与清除情况，比较两组的治疗效果。 结果 观察组假丝酵母菌清除率为96.25%，低于对照组的77.50%，差异有统计学意义（P0.05）。观察组总有效率为96.25%，对照组总有效率为77.50%，两组总有效率差异有统计学意义（P0.05）。 结论 克霉唑阴道片应用方便、安全，是目前孕妇用药的首选。 　　[关键词] 外阴阴道假丝酵母菌；妊娠；保妇康栓；克霉唑阴道片 　　[中图分类号] R984[文献标识码] A[文章编号] 1674-4721（2014）06（c）-0080-03 　　 　　Effects of various therapeutic methods in treatment of vulvovaginal candidiasis combined with pregnancy 　　HOU Gui-yu 　　No.1 People′s Hospital of Shunde District in Foshan City of Guangdong Province,Foshan 528300,China 　　[Abstract] Objective To investigate the clinical effect of various therapeutic methods in treatment of vulvovaginal candidiasis (VVC) combined with pregnancy. Methods One hundred and sixty pregnant patients diagnosed as VVC during their first-time outpatient clinic visits from January 2012 to January 2014 were selected and randomly divided into control group and observation group.Clotrimazole vaginal tablet as western drug therapy was applied to the observation group,while baofukang suppository as traditional Chinese medical therapy was adopted to the control group.Each course of treatment lasted one week.After two-week treatment,the differences of bacterium-carrying and bacterium-removing in secreta by microscopic examinations in both groups were compared and the curative effects were calculated. Results The candida clearance of the observation group was 96.25%,lower than 77.50% of the control group,the difference was significant (P0.05).The total effective rate of the observation group was 96.25%,higher than 72.50% of the control group,the difference was significant (P0.05). Conclusion Clotrimazole vaginal tablet is convenient to use and safe,which serves as optimal choice for pregnant patient with VVC. 　　[Key words] Vulvovaginal candidiasis;Pregnancy;Baofukang suppository;Clotrimazole vaginal tablet 　　在妊娠期间