柏荷护阴方加减外洗联合乳酸菌阴道胶囊治疗难治性阴道炎500例疗效观察

Chinese Herbal Medicine Washout Combined with Lactic Acid Bacteria Vaginal Capsule Treat Refactory Vaginitis 500 Cases

[目的]探讨柏荷护阴方加减外洗配合乳酸菌阴道胶囊治疗难治性阴道炎的临床效果。[方法]选择500例患难治性阴道炎的患者分为:湿热下注型、湿毒内蕴型、阴虚内热型三型,根据不同证型予柏荷护阴方加减配合乳酸菌阴道胶囊治疗,7d为1疗程,共3个疗程。疗程结束后随访3个月,观察复发情况,用药前后均进行妇科检查阴道分泌物。[结果]湿热下注型患者治愈139例,有效11例,总有效率100%。湿毒内蕴型患者治愈183例,有效13例,总有效率100%。阴虚内热型患者治愈141例,有效9例,总有效率100%,3个月随访无复发。[结论]柏荷护阴方加减配合乳酸菌阴道胶囊可有效调节阴道微生态环境,减少难治性阴道炎复发,临床使用安全,疗效明确。

[Objective]To investigate the clinical effect of Chinese herbal medicine washout combined with lactic acid bacteria vaginal capsule on refractory vaginitis. [Method] Divide 500 patients into 3 types： downward flow of damp-heat, damp toxin implication, internal heat due of Yin deficiency, which treated with different decoctions with lactic acid bacteria vaginal capsule. Fol ow up for 3m after treatment course, observe recurrence; make vaginal secre-tion tests before and after treatment. [Result] In downward flow of damp heat type, 139 cases were cured, 11 effective, the total effective rate 100%; on damp toxin implication type, 183 cases were cured, 13 effective, total effective rate 100%;for internal heat due to Yin deficiency, 141 were cured, 9 effec-tive and total effective rate 100%. There’s no recurrence after 3m. [Conclusion] The said method can effectively regulate vaginal micro-ecological envi-ronment and reduce recurrence of refractory vaginitis, with safe clinical application and definite cure effect.