完带汤加味合外治法治疗复发性外阴阴道假丝酵母菌病68例

目的：观察口服中药完带汤加味联合外用中药熏洗及阴道上药,治疗外阴阴道假丝酵母菌病的疗效。方法：将136例外阴阴道假丝酵母菌病患者随机分为2组。治疗组68例,口服中药完带汤加味,自制中药方熏洗外阴并配合阴道上药治疗;对照组68例,除口服完带汤加味外,其余治疗同对照组。观察2组治疗后疗效,并对停药后1、2、3个月的患者进行回访分析。结果：治疗组总有效率98.5%;对照组总有效率89.7%。2组比较有统计学意义（P〈0.05）。停药后1个月,2组均无复发;2个月后治疗组2例复发,对照组4例复发;3个月后治疗组3例复发,对照组9例复发。2组复发率比较差异有统计学意义（P〈0.05）。结论：完带汤加味合外治法治疗复发性外阴阴道假丝酵母菌病效果好,复发率低。

Recurrent Vulvovaginal Candidiasis Treated with Modified WanDaiTang Combined with External Treatment: A Report of 68 Cases

Objective： To explore therapeutic effects of modified WanDaiTang combined with herb fumigating and application in treating vulvovaginal candidiasis.Method： 136 cases of vulvovaginal candidiasis were chosen and divided into treatment group which orally took modified WanDaiTang combined with herb fumigating and application and control group administered with herb fumigating and application.Curative effects for both groups were observed after the treatment and return visits of the patient were analyzed in one month,two months and three months after withdrawal of drugs.Result： Total effective rate of treatment group was 98.5%,higher than 89.7% of control group with statistical meaning（P0.05）.The patients in both groups were cured without relapse in one month after withdrawal of drugs;two patients in treatment group and four patients in control group had relapse in two months;three patients in treatment group and nine cases in control group had relapse in three months.The comparison of recurrence rates of two groups suggested statistical meaning（P0.05）.Conclusion： Modified WanDaiTang combined with external treatment is effective with low recurrence rate in treating recurrent vulvovaginal candidiasis.