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乳杆菌治疗细菌性阴道病的临床研究 被引量:2

Lactobacillus in Treatment of bacterial vaginosis:A Clinical Study
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摘要 目的探讨乳杆菌在治疗细菌性阴道病(BV)中的作用。方法将确诊为BV的120例患者随机分成3组,单纯使用甲硝唑者(A组)40例,联合使用甲硝唑及乳杆菌者(B组)40例,单纯使用乳杆菌者(C组)40例。对3组患者的临床症状及实验室检查结果进行分析。结果3组患者治疗后第1次复诊时A、B组患者的疗效间差异无统计学意义(P<0.05),C组患者的疗效与A、B组间差异有统计学意义(P<0.05);第2次复诊时3组患者的疗效间差异有统计学意义(P<0.05)。结论在治疗BV时,应首先应用甲硝唑,感染控制后再使用乳杆菌恢复阴道内正常菌群环境,可以取得较好的治疗效果。 Objective To probe into the curative effects of lactobacillus on bacterial vaginosis (BV), Methods 120 cases with BV were divided randomly into 3 groups. Group A ( n = 40) were treated with metronidazole, Group B ( n = 40) with metronidazole combined with lactobacillus; Group C (n = 40 ) with lactobacillus. Respectively on the 14th and 30th days after treatment, we compared the curative effects among the three groups. Results The curative effects of Group A and Group B were better than that of Group C on the first visit (on the 14th day) (82. 5% , 84. 6% VS 56.4% ; P 〈 0, 05) ; On the second visit (on the 30th day) , there was significant difference in curative effect among the 3 groups (79. 1% , 87.5% , 68.2% , P 〈 0.05), Conclusion It is concluded that in the treatment of BV, metronidazole should be used first, and lactobacillus can be used to improve the endovaginal micro -organism environment when infection is controlled.
出处 《中国全科医学》 CAS CSCD 2008年第4期337-338,共2页 Chinese General Practice
关键词 乳杆菌 阴道病 细菌性 甲硝唑 Lactobacillus Vaginosis, bacterial Metronidazole
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参考文献5

  • 1Marianne Morris, Angus Nicoll, Ian Simms, et al. Bacterial vaginosis: a public health review [J]. BrJ Obstet Gynecol, 2001, 108: 439 - 450.
  • 2Amsel R, Totten P, Spiegel C, et al. Nonspecific vaginitis: diagnostic techniques and microbial and epidemiologic associations [ J ]. Am J Med, 1983, 74: 14-22.
  • 3Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines 2002. Recommendations and Reports, 2002:45-47.
  • 4Elmer GW, Surawicz CM, McFarland LV. Biotherapeutic agents. A neglected modality for the treatment and prevention of selected intestina and vaginal infections [ J ]. JAMA, 1996, 275 : 870 - 876.
  • 5康白,吕虎,傅晓丽.阴道正常菌群的定性及定量分析[J].中国微生态学杂志,2001,13(4):191-191. 被引量:41

二级参考文献3

  • 1[1]Sharon L.The relationship of hydrogen peroxide-producing lactobacilli to bacterial vaginosis and genital microflora in pregnant women[J].Obstet Gynec ol,1992,79:369-373.
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