复发性外阴阴道假丝酵母菌病治疗的临床分析

Clinical Analysis on the Treatment of Relapsed Vulvovaginal Candida Mycoderma Bacteria

目的:探讨在复发性外阴阴道假丝酵母菌病中使用微生态制剂的治疗效果。方法:将复发性念珠菌性外阴阴道炎320例随机分为对照组(单独抗真菌治疗)与治疗组(抗真菌治疗联合微生态制剂)。治疗前、后1周,1个月、3个月、6个月月经干净后进行临床、真菌学疗效分析。结果:经抗真菌治疗后,临床、真菌学疗效较好。治疗后1个月,治疗组有效率明显高于对照组(P <0.01),治疗后3个月、6个月、12月复发率均低于对照组(P<0.01或<0.05)。结论:抗真菌药物联合微生态制剂治疗复发性外阴阴道假丝酵母菌病效果好,复发率低。

Objective： To discuss the effect of microbial ecological agents for the treatment of relapsed vulvovaginal candida myco- derma bacteria. Method： 320 cases with relapsed vulvovaginal candida mycoderma bacteria were randomly divided into control group （antifungal therapy） and treatment group （antifungal therapy combined with microbial ecological agents）. The clinical and mycology effect before and after treatment for lw as well as in lm, 3m, 6m were analyzed. Result： Patients have good clinical and mycology effect after antifungal therapy. Treatment group＇s effective rate is obviously higher than control group in lm （P〈0. 01）, and its recurrence rate is lower than control group in 3m, 6m and 12m （P〈0.01 or P〈0.05）. Conclusion： The treatment of relapsed vulvovaginal candida mycoderma bacteria by the combination of antifungal therapy and microbial ecological agents has good effect with low recurrence rate.