首页|酮康唑与克霉唑栓药物联合对老年念珠菌性阴道炎的治疗效果及安全性分析

酮康唑与克霉唑栓药物联合对老年念珠菌性阴道炎的治疗效果及安全性分析

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目的 探讨酮康唑与克霉唑栓药物联合对老年念珠菌性阴道炎的治疗效果及其安全性.方法 回顾性选取2022年1月—2024年2月鄄城县妇幼保健计划生育服务中心收治的120例老年念珠菌性阴道炎患者的临床资料,以不同治疗方式分为两组,每组60例,单一组采用酮康唑治疗,联合组采用酮康唑与克霉唑栓联合治疗.对比两组治疗效果.结果 联合组阴道微生态指标水平优于单一组,阴道分泌物免疫球蛋白水平高于单一组,差异有统计学意义(P均<0.05).联合组治疗有效率为98.33%(59/60),高于单一组的85.00%(51/60),差异有统计学意义(χ2=6.982,P<0.05).联合组不良反应发生率略高于单一组,差异无统计学意义(P>0.05).结论 采用酮康唑与克霉唑栓药物联合治疗方案对老年念珠菌性阴道炎患者进行治疗,不仅能够优化阴道微生态水平,提升患者的免疫功能,还能提高治疗效果,且不会增加不良反应发生风险.
Analysis of the Therapeutic Effect and Safety of the Combination of Keto-conazole and Clotrimazole Suppository in the Treatment of Candida Vagi-nitis in the Elderly
Objective To explore the efficacy and safety of ketoconazole combined with clotrimazole suppository in the treatment of senile candidal vaginitis.Methods The diagnosis and treatment data of one hundred and twenty elderly patients with candidal vaginal infection treated in Juancheng County Maternal and Child Health Care family Planning Service Center from January 2022 to February 2024 were retrospectively selected.They were divided into two groups with different treatment methods,sixty cases in each group.Ketoconazole was used in the single group,and ketocon-azole and clotrimazole were used in the combined group.The therapeutic effect of the two groups was compared.Re-sults The level of vaginal microecological indicators in combination group was better than that in single group,and the level of vaginal secretions immunoglobulin was higher than that in single group,and the differences were statistically significant(all P<0.05).The effective rate of combination group was 98.33%(59/60),which was higher than 85.00%(51/60)in single group,and the difference was statistically significant(χ2=6.982,P<0.05).The incidence of adverse reactions in combination group was slightly higher than that in single group,and the difference was not statistically sig-nificant(P>0.05).Conclusion The combination of ketoconazole and clotrimazole supposit in the treatment of elderly patients with candidal vaginitis can not only optimize the vaginal microecology level,improve the immune function of patients,but also improve the therapeutic effect without increasing the risk of adverse reactions.

Candida vaginitisKetoconazoleClotrimazole suppositoryCombination therapyTherapeutic effectSafety

张建华

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鄄城县妇幼保健计划生育服务中心,山东 鄄城 274600

念珠菌性阴道炎 酮康唑 克霉唑栓 联合治疗 治疗效果 安全性

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)