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甲硝维参栓剂治疗细菌性阴道炎的临床研究

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目的 研究甲硝维参栓剂治疗细菌性阴道炎患者的临床治疗效果及对其安全性、白日瘙痒程度、阴道清洁度、复发情况的影响,旨在为临床治疗提供依据.方法 240 例细菌性阴道炎患者,根据随机数字表法将其分为试验组、对照Ⅰ组、对照Ⅱ组,每组 80 例.试验组给予甲硝维参栓剂治疗,对照Ⅰ组给予甲硝唑阴道栓治疗,对照Ⅱ组给予甲硝唑阴道泡腾片治疗.比较三组临床疗效、白日瘙痒评分、阴道清洁度、复发情况、不良反应发生情况、依从性.结果 试验组转阴率和总有效率分别为 82.50%、95.00%,对照Ⅰ组转阴率和总有效率分别为 65.00%、71.25%,对照Ⅱ组转阴率和总有效率分别为 71.25%、82.50%.试验组转阴率和总有效率比对照Ⅰ组、对照Ⅱ组更高,三组数据比较具有统计学差异(P<0.05).治疗后,试验组白日瘙痒评分为(0.08±0.01)分,对照Ⅰ组白日瘙痒评分为(1.33±0.48)分,对照Ⅱ组白日瘙痒评分为(0.82±0.34)分,三组比较具有统计学差异(P<0.05).试验组Ⅰ、Ⅱ度阴道清洁度占比为 93.75%,对照Ⅰ组Ⅰ、Ⅱ度阴道清洁度占比为 60.00%,对照Ⅱ组Ⅰ、Ⅱ度阴道清洁度占比为 68.75%,三组阴道清洁度比较具有统计学差异(P<0.05).试验组复发率与不良反应发生率分别为5.00%、5.00%,对照Ⅰ组复发率与不良反应发生率分别为 21.25%、18.75%,对照Ⅱ组复发率与不良反应发生率分别为 13.75%、16.25%.与对照Ⅰ组和对照Ⅱ组相比,试验组复发率与不良反应发生率均更低,三组比较具有统计学差异(P<0.05).试验组治疗依从率为 97.50%,对照Ⅰ组治疗依从率为 65.00%,对照Ⅱ组治疗依从率为 78.75%,三组比较具有统计学差异(P<0.05).结论 细菌性阴道炎患者采用甲硝维参栓剂治疗效果优于甲硝唑阴道栓、甲硝唑阴道泡腾片治疗,可有效降低疾病的复发率且安全性良好,具有较高的应用价值.
Clinical study on the treatment of bacterial vaginitis with compound metronidazole suppositories
Objective To study the clinical therapeutic effect of compound metronidazole suppositories in the treatment of patients with bacterial vaginitis and its influence on its safety,severity of daytime itching,vaginal cleanliness and recurrence,so as to provide evidence for clinical treatment.Methods 240 patients with bacterial vaginitis were divided into experimental group,control group Ⅰ and control group Ⅱ according to random number table method,with 80 cases in each group.The experimental group was treated with compound metronidazole suppositories,the control group Ⅰ was treated with metronidazole vaginal suppository,and the control group Ⅱwas treated with metronidazole vaginal effervescent tablet.The clinical efficacy,daytime itching score,vaginal cleanliness,recurrence,occurrence of adverse reactions and compliance of the three groups were compared.Results The negative conversion rate and total effective rate of the experimental group were 82.50%and 95.00%,the negative conversion rate and total effective rate of the control group Ⅰ were 65.00%and 71.25%,and the negative conversion rate and total effective rate of the control group Ⅱ were 71.25%and 82.50%,respectively.The negative conversion rate and total effective rate of the experimental group were higher than those of the control group Ⅰ and the control group Ⅱ,and there was a statistical difference among the three groups(P<0.05).After treatment,the daytime itching score in the experimental group was(0.08±0.01)points,the daytime itching score in the control group Ⅰ was(1.33±0.48)points,and the daytime itching score in the control group Ⅱ was(0.82±0.34)points,and there was a statistical difference among the three groups(P<0.05).The proportion of Ⅰand Ⅱ degree of vaginal cleanliness in the experimental group was 93.75%,the proportion of Ⅰ and Ⅱ degree of vaginal cleanliness in control group Ⅰ was 60.00%,and the proportion of Ⅰ and Ⅱ degree of vaginal cleanliness in the control group Ⅱ was 68.75%,and there was statistical difference among the three groups(P<0.05).The recurrence rate and adverse reaction rate of the experimental group were 5.00%and 5.00%,the recurrence rate and adverse reaction rate of the control group Ⅰ were 21.25%and 18.75%,and the recurrence rate and adverse reaction rate of the control group Ⅱ were 13.75%and 16.25%,respectively.Compared with the control group Ⅰand the control group Ⅱ,the recurrence rate and adverse reaction rate of the experimental group were lower,and there was statistical difference among the three groups(P<0.05).The treatment compliance rate was 97.50%in the experimental group,65.00%in the control group Ⅰ and 78.75%in the control group Ⅱ,and there were statistical differences among the three groups(P<0.05).Conclusion The therapeutic effect of compound metronidazole suppositories is better than metronidazole vaginal suppository and metronidazole vaginal effervescent tablet in patients with bacterial vaginitis,which can effectively reduce the recurrence rate of the disease with high safety,and has high application value.

Bacterial vaginitisCompound metronidazole suppositoriesMetronidazole vaginal suppositoryMetronidazole vaginal effervescent tablets

文晓敏、温岭森、郭宏才

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721000 宝鸡市中医医院

714000 渭南市中心医院

712000 咸阳市第一人民医院

细菌性阴道炎 甲硝维参栓剂 甲硝唑阴道栓 甲硝唑阴道泡腾片

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
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