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性病门诊120例RVVC病原体检测分析
引用本文:简华慧,梁林慧.性病门诊120例RVVC病原体检测分析[J].中国皮肤性病学杂志,2011,25(12).
作者姓名:简华慧  梁林慧
作者单位:1. 广西百色市人民医院皮肤性病科,广西百色,533000
2. 广西百色市人民医院细菌室,广西百色,533000
摘    要:目的探讨复发性外阴阴道假丝酵母菌病(RVVC)真菌及合并其他病原体感染情况,为有效治疗提供依据。方法对性病门诊120例RVVC患者和120例同期在本院做健康查体妇女(对照组)行病原学检查及酵母菌培养鉴定。结果 120例RVVC患者阴道分泌物分离出124株假丝酵母菌,其中白假丝酵母菌85株(68.55%),非白假丝酵母菌39株(31.45%),对两性霉素B,5-氟胞嘧啶,制霉菌素及咪康唑具有较高的体外抗菌活性,敏感率分别为98.39%,95.97%,91.94%和90.32%;支原体感染63例(52.50%),衣原体感染20例(16.67%),其他病原体感染37例(30.83%)。对照组120例仅查出白假丝酵母菌7例,支原体感染14例,未查见衣原体,其他病原体感染4例。结论 RVVC的主要病原菌仍是白假丝酵母菌,制霉菌素、咪康唑仍可作为经验用药的首选药物;RVVC常合并支原体、衣原体感染,对久治不愈的RVVC患者,需注意是否合并有其他病原体感染,应予积极治疗。

关 键 词:假丝酵母菌  外阴阴道炎  性传播疾病

The Pathogenic Analysis of 120 Cases of RVVC in STD Clinics
JIAN Hua-hui,LIANG Lin-hui.The Pathogenic Analysis of 120 Cases of RVVC in STD Clinics[J].The Chinese Journal of Dermatovenereology,2011,25(12).
Authors:JIAN Hua-hui  LIANG Lin-hui
Abstract:Objective To investigate the epidemic situation of the recurrent vulvovaginal candidiasis(RVVC) and the other pathogen flora,and to provide the basis for effective treatments.Method Etiological examination,Yeast culture and evaluation were carried out among the 120 patients with gynecological clinic RVVC in STD clinics in our hospital,taking the 120 cases of women having physical examination in the hospital as control group.Result Among the 120 RVVC patients,124 strains of Candida were found,85 of them were...
Keywords:Candida  Vulvovaginitis  Sexually transmitted diseases(STD)  
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