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保妇康凝胶在老年性阴道炎中的应用效果

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目的:探究保妇康凝胶在老年性阴道炎中的应用效果。方法:选取 2023 年 4 月—2024 年 4 月福建医科大学附属第一医院收治的 100 例老年性阴道炎患者。根据随机数表法将其分为对照组和观察组,各 50 例。对照组给予结合雌激素乳膏,观察组在对照组基础上给予保妇康凝胶。比较两组治疗后临床疗效,不良反应,治疗前、治疗 1 周及 2 周后阴道炎症状体征评分、pH值、细胞免疫指标、阴道分泌物检测指标。结果:观察组总有效率显著高于对照组,差异有统计学意义(P<0。05)。观察组不良反应发生率显著低于对照组,差异有统计学意义(P<0。05)。治疗 1 周及 2 周后,观察组瘙痒、烧灼感及干涩评分均显著低于对照组,差异有统计学意义(P<0。05)。治疗 1 周及 2 周后,观察组pH值显著低于对照组,差异有统计学意义(P<0。05)。治疗1周及2周后,观察组CD3+、CD4+及CD4+/CD8+均显著高于对照组,差异有统计学意义(P<0。05)。治疗1周及 2 周后,观察组抗菌肽LL-37、人β防御素 2(HBD-2)及人β防御素 3(HBD-3)水平均显著低于对照组,差异有统计学意义(P<0。05)。结论:保妇康凝胶在老年性阴道炎中的应用效果较好,安全性较高,且可显著改善患者的局部免疫状态。
Application Effect of Baofukang Gel in the Patients with Senile Vaginitis
Objective:To investigate the application effect of Baofukang Gel in the patients with senile vaginitis.Method:A total of 100 patients with senile vaginitis admitted to the First Affiliated Hospital of Fujian Medical University from April 2023 to April 2024.According to the random number table method,they were divided into a control group and an observation group,with 50 cases in each group.The control group was given Conjugated Estrogen Cream,and the observation group was given Baofukang Gel on the basis of the control group.The clinical efficacy,adverse reactions,vaginal inflammation symptom and sign scores,pH value,cellular immune index,and vaginal secretion detection indicators before treatment,after 1 week and 2 weeks of treatment between two groups were compared.Result:The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).After 1 week and 2 weeks of treatment,the itching,burning sensation,and dryness scores in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).After 1 week and 2 weeks of treatment,the pH value of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).After 1 week and 2 weeks of treatment,the observation group showed significantly higher levels of CD3+,CD4+,and CD4+/CD8+compared to the control group,and the difference was statistically significant(P<0.05).After 1 week and 2 weeks of treatment,the levels of 37 amino acids at the N-terminus of cathelicidin LL-37,human beta defence-2(HBD-2),and human beta defence-3(HBD-3)in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of Baofukang Gel in senile vaginitis has good effect,high safety,and can significantly improve the local immune status of patients.

Baofukang GelSenile vaginitisApplication effectLocal immune

林春梅、林明辉

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闽江师范高等专科学校医护学院 福建 福清 350000

福建医科大学附属第一医院

保妇康凝胶 老年性阴道炎 应用效果 局部免疫

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(34)