阴道碘氧治疗细菌性阴道病疗效观察.docVIP

阴道碘氧治疗细菌性阴道病疗效观察 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：阴道碘氧治疗细菌性阴道病疗效观察 1 1 资料与方法 2 2 结果 4 3 讨论 4 文2：关于消糜阴道泡腾片联合甲硝唑片治疗细菌性阴道病疗效观察 5 1 资料与方法 5 2 结果 6 3 讨论 7 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 10 正文 阴道碘氧治疗细菌性阴道病疗效观察 文1：阴道碘氧治疗细菌性阴道病疗效观察 Abstract： Objective To explore the efficacy and safety of vagina sterilization with iodo-oxygen sterilization and arilin for bacteria1 One hundred cases diagnosed as bacterial vaginosis were divided into observation group and control group. Observation group was treated by vagina iodooxygen sterilization (kalium iodidum, hydrogen dioxide) and arilin put in posterior fornix, and control group was administered with oral arilin plus placement of it in posterior The total effective rate was % in observation group and % in control group, respectively, between which there was not significant difference (P0. 05). The recurrence rate was % (two weeks after treatment) and % (three months after) in observation group, whereas the counterpart was % and % in control group. There were significant differences in the recurrence rate between the two groups (P0. 01). Conclusion It is clinically effective and reliable that vagina indooxygen sterilization plus arilin placed in posterior fornix is applied to bacterial vaginosis. It has a low recurrence rate and a high safety. Key words： bacterial vaginosis; kalium iodidum; hydrogen dioxide; arilin 细菌性阴道病（bacterial vaginosis,BV）是一种以加德纳菌、动弯杆菌、普雷活菌、紫单胞菌、类杆菌、各种厌氧菌及支原体引起的混合感染。临床多表现为鱼腥臭味的灰白色白带，阴道灼热、瘙痒，甚至不孕及妊娠期不良围生期结局，但也有10%～15%无症状[1]。且化验白带常规无明显异常，因此探索一种快速有效且作用持久的治疗方法是治疗细菌性阴道病的关键，我们应用阴道碘氧消毒法与甲硝唑联合治疗该病，取得满意的临床效果，现报告如下。 1 资料与方法 一般资料 本组病例均为2003年1月—2005年12月在我科就诊的细菌性阴道病患者，共100例，年龄22~43岁，平均（34±7）岁。分为两组，观察组52例，对照组48例。 诊断标准[1] 符合下列4项标准中3项者，诊断为细菌性阴道病，其中第1项为必备条件：（1）线索细胞（+）（≥20%）；（2）鱼腥臭味灰白色白带；（3）pH＞；（4）胺试验（+） 治疗方法 观察组：阴道碘氧消毒法+阴道后穹隆置甲硝唑片。具体方法如下：病人取截石位，臀位抬高，苯扎溴铵常规会阴消毒，带消毒手套擦洗外阴、阴道。顺序：消毒外阴后擦洗宫颈、阴道前后穹隆及阴道壁数次，擦净阴道分泌物，后穹隆放置一块纱布，阴道依次注入10%碘化钾及3%过氧化氢液各20 ml，两种液体混合后即刻变成棕色并产生大量气泡，用纱布在阴道后穹隆内擦洗，取出窥阴器，阴道