首页|中药灌洗配合纳米银抗菌水凝胶治疗阴道炎的效果及不良反应观察

中药灌洗配合纳米银抗菌水凝胶治疗阴道炎的效果及不良反应观察

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目的:探讨中药灌洗联合纳米银抗菌水凝胶对阴道炎的治疗效果,并观察不良反应发生情况。方法:2020 年 4 月到 2023年 2 月选择在本院诊治的阴道炎患者 94 例作为研究对象,根据 1∶1随机数字表法把 94 例患者分为研究组 47 例与对照组 47 例。对照组给予甲硝唑治疗,研究组给予中药灌洗配合纳米银抗菌水凝胶治疗,研究组与对照组都治疗观察 8 周,记录疗效与不良反应发生率。结果:研究组与对照组治疗 8 周后的总有效率分别为 97。97%和 85。11%,研究组显著高于对照组(P<0。05)。研究组的外阴瘙痒缓解时间、白带异常缓解时间、黏膜充血缓解时间都显著短于对照组(P<0。05)。研究组治疗 8 周期间的皮疹、恶心呕吐、腹胀腹痛、发热等不良反应发生率为 4。26%,对照组为 21。28%,研究组与对照组相比明显降低(P<0。05)。研究组与对照组治疗 8 周后的血清白细胞介素-6、转化生长因子-β1 含量都低于治疗前(P<0。05),研究组治疗 8 周后的血清白细胞介素-6、转化生长因子-β1 含量与对照组相比也显著降低(P<0。05)。结论:中药灌洗配合纳米银抗菌水凝胶在阴道炎患者的治疗中,能提高治疗效果,促进缓解临床症状,减少不良反应,抑制血清白细胞介素-6、转化生长因子-β1 的释放。
Observation on the efficacy and adverse reactions of herbal lavage combined with nano silver antibacterial hydrogel in the treatment of vaginitis
Objective:To investigate the effects of herbal lavage combined with nano silver antibacterial hydrogel in the treat-ment of vaginitis,and observe the occurrence of adverse reactions.Method:From April 2020 to February 2023,94 cases of pa-tients with vaginitis who were diagnosed and treated at our hospital were selected as the research subjects.Accorded to a 1∶1 random number table method,the 94 patients were divided into the study group of 47 cases and the matched group of 47 cases.The matched group were treated with metronidazole,and the study group were treated with herbal lavage combined with nano silver antibacterial hydrogel.Both groups were treated and observed for 8 weeks,and recorded the treatment effect and adverse reactions.Result:After 8 weeks of treatment,the total effective rates of the study group(97.97%)was significantly higher than that of the matched group(85.11%)(P<0.05).The relief time of vulvar itching,abnormal vaginal discharge,and muco-sal congestion in the study group were significantly shorter(P<0.05).The incidence of adverse reactions such as rash,nau-sea and vomiting,abdominal distension and pain,and fever during the 8-week treatment period in the study group were 4.26%,compared to 21.28%in the matched group.The study group showed significant decreased compared to the matched group(P<0.05).The serum interleukin-6 and transforming growth factor-1βlevels after 8 weeks of treatment in two groups were were all lower than before treatment,and the serum interleukin-6 and transforming growth factor-1βlevels after 8 weeks of treatment in the study group were significantly reduced compared to the matched group(P<0.05).Conclusion:Herbal lavage combined with nano silver antibacterial hydrogel can improve the therapeutic effect,promote the alleviation of clinical symptoms,reduce the occurrence of adverse reactions,and inhibit release of serum interleukin-6 and transforming growth fac-tor-1 in patients with vaginitis.

Traditional Chinese medicine irrigationNano silver antibacterial hydrogelVaginitisInterleukin-6Transforming growth factor-β1

张静

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甘肃省天水市秦州区妇幼保健院妇产科,甘肃 天水 741000

中药灌洗 纳米银抗菌水凝胶 阴道炎 白细胞介素-6 转化生长因子-β1

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(6)