复发性阴道炎诊治临床分析

Clinical analysis of the diagnosis and treatment of recurrent vaginitis

目的:探讨复发性阴道炎的易感因素及防治方法。方法:对临床1年内发作≥4次的阴道炎患者的诊治过程进行回顾分析。结果:50例患者中体外射精、节育环或结扎避孕15例,经改用工具避孕或性伴侣同治后0.5年无复发;患者为慢性疾病3例(糖尿病),经控制血糖后3个月无再复发;服用抗生素超过2周的患者停用抗生素后经治疗2例,3个月内无再复发;患者工作、生活压力大,睡眠不足20例,经改善生活方式后0.5年无再复发。其余最后1次治疗后未复诊10例。结论:复发性阴道炎诊治时需重视复发诱因的存在,针对性地采取预防措施,进行个体化治疗,以减少阴道炎复发。

Objective:To explore the susceptible factors and prevention methods of recurrent vaginitis.Methods:The diagnosis and treatment process of the patients with 4 or more vaginitis in 1 years were reviewed and analyzed.Results:Fifty patients had ejaculation or contraceptive ring or contraception in 15 cases.No complications occurred after switching to contraception or sexual partner for 6 months.3 patients with chronic diseases(diabetes),no recurrence after six months after the control of blood glucose,in patients taking antibiotics for more than two weeks after antibiotics were discontinued in 2 cases,no recurrence within 6 months.There were 20 cases of lack of sleep under the pressure of work and life,and no relapse for 6 months after the improvement of life style.The remaining 10 cases were not reviewed after the rest of the last treatment.Conclusion:The presence of recurrent causes should be paid attention to in the diagnosis and treatment of recurrent vaginitis.Preventive measures and individualized treatment should be taken to reduce the recurrence of vaginitis.