保妇康栓结合宫颈分泌物病原体检测治疗黏液脓性宫颈炎临床观察.docVIP

保妇康栓结合宫颈分泌物病原体检测治疗黏液脓性宫颈炎的临床观察 　　[摘要] 目的 探讨保妇康栓结合宫颈分泌物病原体检测在治疗黏液脓性宫颈炎（MPC）中的作用。 方法 采用随机方法将2013年11月～2014年4月我院妇科门诊的100例MPC患者分为两组。研究组根据宫颈分泌物病原体检测及药敏结果选择一种抗生素常规用药（衣原体予多西环素），同时给予保妇康栓2粒/晚，阴道给药，连用2周。对照组按宫颈分泌物病原体检测及药敏结果选择一种抗生素常规用药（衣原体予多西环素）。两组在研究期间均禁止性生活，治疗前后观察记录症状、体征及病原体检测结果的变化，疗程结束后1周采集宫颈分泌物行病原体复查。 结果 研究组MPC总有效率为98.0%，对照组为86.0%；研究组宫颈糜烂有效率为100.0%，对照组为55.0%，研究组MPC总有效率和宫颈糜烂有效率优于对照组，差异有统计学意义（P0.05）。 结论 保妇康栓结合宫颈分泌物病原体检测治疗MPC疗效肯定，优于单用抗生素，在宫颈糜烂愈合方面疗效尤为明显。 　　[关键词] 保妇康栓；宫颈分泌物病原体检测；黏液脓性宫颈炎 　　[中图分类号] R711.32 [文献标识码] A [文章编号] 1674-4721（2015）08（c）-0038-03 　　[Abstract] Objective To explore the role of Baofukang suppository combined with cervical secretions pathogen detection on treating mucopurulent cerricitis（MPC）. Methods From November 2013 to April 2014，100 patients with MPC in our hospital were randomly divided into two groups.The control group were given routine antibiotic therapy （doxycycline for chlamydia） by drug sensitive test and the treatment group were given further treatment of intravaginal administration 2 pellets Baofukang suppository every night.The sexual life was forbidden and symptoms，signs and drug sensitive test were recorded before and after treatment.Cervical secretions pathogens reexaminationafter treatment for one week was collected. Results The total efficacy rate of MPC in treatment group and control group was 98.0% and 86.0% respectively.The rate of cervical erosion in treatment group and control group was 100.0% and 55.0% respectively.According to statistic analysis，the total efficacy rate of MPC and cervical erosion in treatment group was better than control group respectively，with statistical difference（P0.05）. Conclusion Baofukang suppository combined with cervical secretions pathogen detection is effective in treating mucopurulent cerricitis and better than only antibiotic treatment，especially in cervical erosion healing. 　　[Key words] Baofukang suppository；Cervical secretions pathogen detection；Mucopurulent cerricitis 　　黏液脓性宫颈炎（MPC）是宫颈炎症的一种，表现为宫