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[目的]观察中药熏洗联合西药治疗念珠性阴道炎疗效。[方法]使用随机平行对照方法,将100例住院患者按抽签法简单随机分为两组。禁止性生活,禁止穿紧身内裤,注意清淡饮食,勿私自自服其它类药物。对照组50例常规治疗:1碱性药物冲洗阴道(2~4%苏打液)。2制霉菌素阴道栓塞塞入阴道深部,早晚各一次。3酮康唑,0.2g/次,1次/d。治疗组50例中药熏洗(白鲜皮、蛇床子、百部、地肤子、土茯苓各15g,黄柏、苦参各25g),浸泡30min,文火煎熬2000m L,放凉至室温,熏洗阴道,30min/次,1次/d;西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、阴道分泌物、病原菌、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效15例,有效30例,无效5例,总有效率90.00%。对照组显效5例,有效28例,无效17例,总有效率66.00%。治疗组疗效优于对照组(P<0.01)。[结论]中药熏洗联合西药治疗念珠性阴道炎效果显著,值得推广。
[Objective] To observe the curative effect of traditional Chinese medicine fumigation and washing combined with western medicine on rosary vaginitis. [Methods] Using randomized parallel control method, 100 inpatients were randomly divided into two groups randomly according to the drawing method. Prohibit sexual life, not to wear tight underwear, pay attention to a light diet, not self-serving other types of drugs. Control group of 50 cases of conventional treatment: 1 alkaline medication vaginal (2 ~ 4% soda). 2 nystatin vaginal plug into the vagina, sooner or later each time. 3 ketoconazole, 0.2g / time, 1 time / d. The treatment group, 50 cases of Chinese fumigation (white fresh skin, Cnidium, a hundred, Kadsura, Tuckahoe each 15g, Treats, sophora flavescens 25g), soak 30min, simmer for 2000m L, let cool to room temperature, fumigation Vagina, 30min / time, 1 time / d; Western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, vaginal secretions, pathogens, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] The treatment group was markedly effective in 15 cases, effective in 30 cases, ineffective in 5 cases, the total effective rate was 90.00%. In the control group, 5 cases were markedly effective, 28 cases were effective, 17 cases were ineffective, and the total effective rate was 66.00%. The treatment group than the control group (P <0.01). [Conclusion] Chinese herbal fumigation combined with Western medicine treatment of rosary vaginitis significant effect, it is worth promoting.