首页|臭氧辅助克霉唑阴道片治疗复发性霉菌性阴道炎的效果

臭氧辅助克霉唑阴道片治疗复发性霉菌性阴道炎的效果

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目的:探讨臭氧联合克霉唑阴道片对复发性霉菌性阴道炎(VVC)患者临床症状及性激素水平的影响.方法:采取回顾性研究,选择2022年12月—2023年12月本院收治的106例VVC患者作为研究对象,按治疗方法分为对照组(n=53)和观察组(n=53).其中对照组使用克霉唑阴道片治疗,观察组在对照组基础上联合臭氧治疗,均连续治疗14 d.比较两组治疗14 d时临床症状缓解情况(白带异常、外阴瘙痒、排尿痛、腰腹疼痛)、炎症因子水平[白细胞介素-2(IL-2)、肿瘤坏死因子(TNF-α)、白细胞介素-8(IL-8)]、雌激素水平[卵泡刺激素(FSH)、雌二醇(E2)]、阴道pH、阴道清洁度积分及不良反应发生率.结果:治疗14 d时,观察组各临床症状发生率低于对照组(P<0.05);观察组IL-2、TNF-α、IL-8低于对照组(P<0.05);观察组FSH水平低于对照组,E2 水平高于对照组(P<0.05);观察组阴道pH正常率高于对照组(P<0.05);观察组阴道清洁度积分低于对照组(P<0.05);治疗期间,两组不良反应发生率无差异(P>0.05).结论:臭氧联合克霉唑阴道片可有效改善VVC患者临床症状,调节雌激素水平,减轻炎症反应,改善阴道内环境,且未显著增加不良反应.
Effect of Ozone Assisted Clotrimazole Vaginal Tablets in the Treatment of Recurrent Vulvovaqinal Candidiasis
Objective:To investigate the effect of ozone combined with clotrimazole vaginal tablets on clinical symptoms and sex hormone levels in patients with recurrent vulvovaqinal candidiasis(VVC).Methods:A retrospective study was conducted to select 106 patients with VVC admitted to the hospital from December 2022 to December 2023 as the research objects.According to the treatment methods,they were divided into control group(n=53)and observation group(n=53).The control group was treated with clotrimazole vaginal tablets,and the observation group was treated with ozone on the basis of the control group.The clinical symptom relief(leucorrhea abnormality,vulva pruritus,urination pain,waist and abdomen pain),inflammatory factor levels[interleukin-2(IL-2),tumor necrosis factor(TNF-α),interleukin-8(IL-8)],estrogen levels[follicle stimulating hormone(FSH),estradiol(E2)],vaginal pH value,vaginal cleanliness score and incidence of adverse reactions were compared between the two groups.Results:On the 14th day of treatment,the incidence of clinical symptoms in the observation group was lower than that in the control group(P<0.05).The levels of IL-2,TNF-α and IL-8 in the observation group were lower than those in the control group(P<0.05).The level of FSH in the observation group was lower than that in the control group,and the level of E2 was higher than that in the control group(P<0.05).The normal rate of vaginal pH value in the observation group was higher than that in the control group(P<0.05).The score of vaginal cleanliness in the observation group was lower than that in the control group(P<0.05).During the treatment,there was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Ozone combined with clotrimazole vaginal tablets can effectively improve the clinical symptoms of VVC patients,regulate estrogen levels,reduce inflammation,improve the vaginal environment,and do not significantly increase adverse reactions.

Recurrent vulvovaqinal candidiasisOzoneClotrimazole vaginal tabletSex hormoneClinical symptoms

李倪猛、巩硕、侯妍妍、方芳

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商丘市第一人民医院,河南 商丘 476000

复发性霉菌性阴道炎 臭氧 克霉唑阴道片 性激素 临床症状

河南省联合共建项目

LHGJ20200933

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(6)
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