外喷中药制剂联合曲安奈德益康唑乳膏治疗念球菌性龟头炎效果的临床观察

目的：观察中药汤剂改颗粒剂外喷联合曲安奈德益康唑乳膏治疗念球菌性龟头炎的临床疗效。方法：135例患者随机分为治疗组和对照A组和对照B组,每组45例。治疗组给予中药基本方取颗粒剂兑成中药汤液,装入专用容器外喷,2次/d,联合曲安奈德益康唑乳膏外涂,2次/d。对照A组,基本方水煎外洗,2次/d,联合曲安奈德益康唑乳膏外涂,2次/d。对照B组,单独使用曲安奈德益康唑乳膏,2次/d,连用14d。结果：联合用药组治疗念珠菌性包皮龟头炎的方法无论在治疗1周与2周时临床有效率（痊愈＋显效）均高于单独使用曲安奈德益康唑乳膏组,两组真菌学疗效无差异。而中药外喷组与中药外洗组在疗效上无明显差异。结论：中药汤剂外洗改颗粒剂外喷联合曲安奈德益康唑乳膏外涂治疗念球菌性龟头炎安全有效,可行。

Traditional Chinese medicine combined triamcinolone acetonide econazole cream in the treatment of cocci balanitis

Objectives： To nbserve the efficacy of traditional Chinese medicine decoction combined with triamcinolone ace- tonide econazole cream in the treatment of cocci balanitis. Methods： 135 patients were randomly divided into the treatment group, the control group A and the control group B, with 45 cases in each group. The patients in the treatment group were twice daily given Chinese medicine decoction as outside spray and triamcinolone acetonide econazole cream for external use. Washing with decoction was adopted in Control group A, also twice daily, as well as the external use of triamcinolone acetonide econazole cream. In the control group B, only triamcinolone acetonide econazole cream was used twice daily. Results： The combined drug use took greater effect in the treatment of balanitis both in the first week and the second week in terms of the recovery condition and the efficacy. The effective rate was higher than that in the control group B, but there was no remarkable difference on the effi- cacy in the treatment group and the control group A. Conclusions： It is effective and feasible to use the traditional Chinese medi- cine granules spray combined with triamcinolone acetonide econazole cream in the treatment of cocci sex balanitis.