行为干预对降低外阴阴道假丝酵母菌病复发率的影响

目的探讨行为干预对降低外阴阴道假丝酵母菌病(vulvovaginal candidiasis,VVC)复发率的影响。方法将在本院门诊确诊为VVC的890例患者随机分为实验组450例和对照组440例,实验组患者在进行规范治疗的同时,建立个人资料档案,通过电话或复诊时针对患者VVC复发原因给予行为干预,对照组患者只在治疗时给予常规健康教育。比较两组患者治疗后治愈率与复发率。结果实验组治愈率95.6%,复发率3.3%,对照组治愈率63.6%,复发率31.8%,两组比较,均P<0.01,差异具有统计学意义。结论在规范治疗的同时,通过电话回访及复诊时针对性给予患者行为干预,可提高VVC患者的治愈率,降低复发率。

Objective To investigate the effect of behavior intervention on the recurrence of vulvovaginal candidiasis（VVC）.Methods 890 outpatients diagnosed with VVC in our hospital were randomly divided into the experimental group（n = 450） and the control group（n = 440）.The control group received routine health education and experimental group received pertinent behavior intervention by establishing files,phone call follow-up or return visits.The two groups were compared in terms of cure rate and recurrence rate.Results The cure rate and the recurrence rate in the experimental group were 95.6 % and 3.3%,respectively and those in the control group were 63.6% and 31.8%,respectively.The differences were significant between them（both P 0.01）.Conclusion During the standard treatment,the pertinent behavior intervention by phone call follow-ups and return visits may improve the cure rate and lower the recurrence rate of VVC patients.