口腔白色念珠菌病86例临床分析

目的：探讨口腔白色念珠菌病的病因、临床诊断、分型、治疗及预防措施。方法：采用涂片法或Sabouraud培养基培养法结合临床表现对86例患者进行口腔白色念珠菌病的诊断、分型，分析其病因，并采用制霉菌素或氟康唑等药物进行综合治疗，观察其疗效。结果：86例患者中急性假膜型、急慢性萎缩型、慢性增生型分别占10.5%、87．2％和2．3％。综合治疗后各型短期疗效有效率分别为100％、96％和100％。结论：白色念珠菌为条件致病菌，在全身或局部因素诱导下容易发病，制霉菌素和氟康唑可有效治疗口腔白色念珠菌病。

The Clinical Study of 86 Cases with Oral Candidiasis Albicans

Objective: To summarize the causes of oral candidiasis albicans, and its clinical diagnosis, classification, and treatment. Methods:86 cases with candidiasis albicans were treated with Nystatin and Fluconazole. The Candida albicans were examined by smear examination or sabouraud medium cultivation. Results: In 86 cases, the acute pseudomembraneous candidiasis, acute and chronic atrophic candidiasis, chronic hyperplastic candidiasis were 10.5%, 87.2% and 2.3%, respectively. After treatment, their shortly effective rate were 100%, 96% and 100%, respectively. Conclusion: The Cadida albicans is opportunistic pathogen and Nystatin and Fluconazole are effective in the treatment of candidiasis albicans.