微波联合苦参软膏治疗老年阴道炎的效果

Effect of microwave combined with sophora flavescens ointment in the treatment of senile vaginitis

目的分析微波联合苦参软膏治疗老年阴道炎的效果,为老年阴道炎患者的治疗提供更有效方法。方法选取2021年3月—2022年3月在天津市河西区中医医院就诊的50例阴道炎患者,在医院伦理委员会批准后,采用抽签法将其分为对照组和观察组各25例。对照组实施常规治疗,观察组实施微波联合苦参软膏治疗。比较两组的临床疗效、复发率以及不良反应、炎症水平。结果观察组治疗总有效率为100.00%,高于对照组的68.00%,差异有统计学意义(χ^(2)=9.524,P<0.05);观察组复发率为4.00%,低于对照组的36.00%;观察组不良反应发生率为12.00%、低于对照组的32.00%,差异均有统计学意义(P<0.05)。干预前,两组患者CRP、WBC比较差异无统计学意义(P>0.05);干预后,两组患者CRP、WBC均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论老年患者的阴道黏膜萎缩变薄,使阴道上皮内部的糖原含量明显减少,改变了阴道内环境的酸碱平衡,阴道杀灭病原体的能力也会明显降低,致病菌侵入,需要实施科学治疗。微波联合苦参软膏治疗老年阴道炎,可以降低其炎症水平与复发率,促进治疗效果的提升,在一定程度上保证治疗的安全性,值得临床应用。

Objective To analyze the effect of microwave combined with sophora flavescens ointment in the treatment of senile vaginitis,so as to provide a more effective method for the treatment of senile vaginitis.Methods A total of 50 patients with vaginitis who visited Hexi District Traditional Chinese Medicine Hospital in Tianjin from March 2021 to March 2022 were selected.After approval by the hospital's ethics committee,they were divided into control group and observation group using a lottery method,with 25 cases in each group.The control group received routine treatment,while the observation group received microwave combined with Sophora flavescens ointment treatment.The clinical efficacy,recurrence rate,adverse reactions and inflammation levels between the two groups were compared.Results The total effective rate of the observation group was 100.00%,which was higher than the control group's 68.00%,and the difference was statistically significant(χ^(2)=9.524,P<0.05).The recurrence rate in the observation group was 4.00%,which was lower than 36.00%in the control group;the incidence of adverse reactions in the observation group was 12.00%,which was lower than the control group's 32.00%,and the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in CRP and WBC between the two groups of patients(P>0.05);after intervention,the CRP and WBC of both groups of patients were lower than before intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion The atrophy and thinning of the vaginal mucosa in elderly patients could significantly reduce the glycogen content inside the vaginal epithelium,alter the acid-base balance of the vaginal environment,and significantly reduce the ability of the vagina to kill pathogens,which cause pathogenic bacteria to invade,requiring scientific treatment.The combination of microwave and sophora flavescens ointment could reduce the inflammation level and recurrence rate of senile vaginitis,promote the improvement of treatment effect,and to a certain extent ensure the safety of treatment,which was worthy of clinical application.