滴蟲性陰道炎的臨床治療方法觀察

[摘要] 目的 對滴蟲性陰道炎的臨床治療方法進行探討研究，分析其臨床療效。 方法 隨機選取2008年12月～2011年12月于筆者所在單位接受診治的124例滴蟲性陰道炎患者，將其隨機分為3組，A組41例患者采取奧硝唑陰道用藥治療，B組41例患者采取奧硝唑口服用藥治療，C組42例患者采取中西醫(yī)聯(lián)合用藥治療，對3種治療方法的臨床療效和不良反應(yīng)情況進行比較分析。 結(jié)果 通過比較發(fā)現(xiàn)A、B、C 3組的總有效率別為60.98%、82.93%、97.62%，C組的有效率要明顯高于B組和A組，B組的有效率要明顯高于A組，差異有統(tǒng)計學(xué)意義（P<0.05），A、B、C 3組的不良反應(yīng)發(fā)生率分別為2.4%、7.3%、2.38%，三組的不良反應(yīng)比較，差異無統(tǒng)計學(xué)意義（P>0.05）。 結(jié)論 中西醫(yī)聯(lián)合用藥治療滴蟲性陰道炎的臨床效果顯著，引起的不良反應(yīng)少，具有一定的安全性，值得臨床推廣應(yīng)用。

[關(guān)鍵詞] 滴蟲性陰道炎；奧硝唑；中西醫(yī)聯(lián)合用藥；治療方法

[中圖分類號] R711.31 [文獻標識碼] B [文章編號] 2095-0616（2012）22-237-03

Observation of clinical treatment for trichomonas vaginitis

WANG Bing SONG Guiqin

Linzi District Family Planning Service Station of Zibo City， Zibo 255400，China

[Abstract] Objective To explore the clinical treatment of trichomonas vaginitis， and analysis the clinical curative effect. Methods Randomly 124 cases trichomonas vaginitis patients who accepted the diagnosis and treatment was selected in my healthy center from December 2008 to December 2011. They were randomly divided into three groups， Group A of 41 patients were treated by ornidazole vaginal drug therapy， group B 41 patients were treated by ornidazole oral drug therapy， group C of 42 patients were treated by combined therapy of Chinese and Western medicine. The clinical curative effect and adverse reaction of the three method were compared and analysised. Results By comparison，the total effective rate of group A ， B and C respectively wad 60.98%， 82.93%， and 97.62%， The efficient of Group C was obvious better than group B and A， and the efficient of group B was obvious better than group A. The differences wad of statistical significance （P<0.05）.The adverse reaction rate of group A ， B and C respectively was 2.4%， 7.3%， and 2.38%，with no significant difference （P>0.05）. Conclusion The combination therapy of traditional Chinese and western medicine is remarkable to treat trichomonas vaginitis， with little adverse reactions， and has a certain safety，which is worth clinical application.

[Key words] Trichomonas vaginitis； Ornidazole； Combination therapy of traditional Chinese and western medicine； Treatment

滴蟲性陰道炎是臨床上較為常見的婦科類傳染性疾病，陰道毛滴蟲是該病的發(fā)病因素，該寄生蟲可以不斷消耗陰道環(huán)境中的糖原，對女性生殖系統(tǒng)的防御功能造成破壞，導(dǎo)致陰道炎癥的發(fā)生。馬月霞等[1]報道該病的發(fā)病率呈現(xiàn)出逐年增長的趨勢，僅次于細菌性陰道炎和真菌性陰道炎。該類陰道炎如果得不到有效及時的診治，同樣會導(dǎo)致不孕、宮頸疾病等多種并發(fā)癥的發(fā)生，直接威脅著女性的健康，還對女性患者的正常生活造成了嚴重的影響。針對滴蟲性陰道炎的治療方法主要是藥物治療，以往主要采用甲硝唑治療，由于該藥的長期使用使毛滴蟲產(chǎn)生了一定的耐藥性，因此尋找更加有效、簡便的治療方法顯得尤為迫切。……