欢迎访问《中国真菌学杂志》杂志官方网站,今天是 分享到:

中国真菌学杂志 2016, Vol. 11  Issue (3): 181-184.

论著 上一篇    下一篇

清热祛湿药膳方对防治复发性外阴阴道念珠菌病湿热下注证的临床观察

张曾玲   

  1. 广东中山市黄圃人民医院妇科, 中山 528429
  • 收稿日期:2016-01-22 出版日期:2016-06-28 发布日期:2016-06-28
  • 作者简介:张曾玲,女(汉族),硕士,主治医师.E-mail:106921161@qq.com

Clinical observation of Heat clearing damp medicinal food fang for prevention and treatment of recurrent genital vaginal Candidal disease

ZHANG Zeng-ling   

  1. Department of Gynaecology, Guangdong Zhongshan Huangpu People's Hospital, Zhongshan 528429
  • Received:2016-01-22 Online:2016-06-28 Published:2016-06-28

摘要:

目的 探讨清热祛湿药膳方对复发性外阴阴道念珠菌病(recurrent vulvovaginal candicliosis,RVVC)湿热下注证患者阴道微生态环境(乳酸杆菌数量评分)、临床症状和体征评分、临床总疗效等方面的影响,并验证其是否能有效降低复发率。方法 选择120例复发性外阴阴道念珠菌病湿热下注证患者,随机分为实验组和对照组,对照组单用克霉唑阴道片阴道上药,实验组加用清热祛湿药膳口服,强化治疗后再巩固治疗3个月经周期观察其疗程结束后治愈率及停药3个月后的复发率。结果 所有患者在治疗期间,均未出现药物不良反应,两组总疗程结束后,实验组的临床总有效率与对照组比较,差异无统计学意义(P>0.05),但痊愈率优于对照组(P<0.05);在改善RVVC患者临床症状和体征及阴道念珠菌培养转阴率,实验组优于对照组;在增加乳酸杆菌数量方面,实验组与对照组疗效相当,实验组优势不明显;两组患者停药3个月后远期复发率比较,治疗组低于对照组,即在远期疗效方面治疗组优于对照组。结论 清热祛湿药膳对防治复发性外阴阴道念珠菌病疗效良好。

关键词: 清热祛湿药膳, 复发性外阴阴道念珠菌病, 中医食疗法

Abstract:

Objective To explore the effects of heat clearing damp medicinal food fang to vaginal micro ecological environment (lactobacilli number score),clinical symptoms and signs scores,the influence of the total clinical curative effect,etc in recurrent vulva vagina candida disease (recurrent vulvovaginal candicliosis RVVC) patients,and to verify whether it can effectively reduce the recurrence rate.Methods The 120 cases of recurrent vulva vagina disease patients,were randomly divided into experimental group and control group.The control group was treated with canesten vaginal tablet.The experimental group were treated with canesten vaginal tablet,combined with oral heat clearing damp herbal consolidating treatment of three menstrual cycles after intensive treatment.Curative rate after completion of the course and the recurrence rate 3 months after discontinuation were observed.Results During the treatment,no adverse drug reaction was occurred.The clinical total effective rates of two groups had no statistically significant difference (P>0.05),but the cure rate of experimental group was better than that of control group (P<0.05).In terms of improving clinical symptoms and signs of patients with RVVC,experimental group was better than the control group;in terms of increasing number of lactobacillus,experimental group's advantage was not obvious.The recurrence rate of the treatment group was lower than that of the control group.Conclusion Heat clearing damp medicinal food had good prevention and treatment value for recurrent genital vaginal candidal disease.

Key words: heat clearing damp medicinal food, recurrent vulvovaginal candidiasis (RVVC), feed therapeutics of traditional Chinese medicine

中图分类号: