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复发性外阴阴道念珠菌病的危险因素及治疗研究
引用本文:张萍,濮德敏,陈素华,刘守桂,史金风. 复发性外阴阴道念珠菌病的危险因素及治疗研究[J]. 华中科技大学学报(医学版), 2000, 29(3)
作者姓名:张萍  濮德敏  陈素华  刘守桂  史金风
作者单位:同济医科大学附属同济医院妇产科,武汉,430022
摘    要:为探讨复发性外阴阴道念珠菌病 (RVVC)发病的危险因素及其治疗方法 ,采用念珠菌直接镜检和培养的方法将 15 6例患者中阳性者分为 RVVC组和外阴阴道念珠菌病 (VVC)组 ,阴性者为对照组 ,分析各种危险因素在三组之间的差异。并对克霉唑乳酸配方阴道栓和制霉菌素治疗 RVVC的疗效进行观察。结果表明 :使用抗生素、阴道冲洗、口服避孕药、妊娠是 RVVC的危险因素 ,克霉唑乳酸配方阴道栓可有效预防 RVVC的复发

关 键 词:念珠菌病  外阴-阴道  复发  危险因素  治疗

The Risk Factors and Treatment of Recurrent Vulvovaginal Candidiasis
Zhang Ping,Pu Demin,Chen Suhua. The Risk Factors and Treatment of Recurrent Vulvovaginal Candidiasis[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2000, 29(3)
Authors:Zhang Ping  Pu Demin  Chen Suhua
Affiliation:Zhang Ping,Pu Demin,Chen Suhua Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical University,Wuhan 430030
Abstract:In order to investigate the risk factors of recurrent vulvovaginal candidiasis (RVVC) and observe the efficacy of clotrimazole vaginal suppositories, patients with RVVC or vulvovaginal candidiasis(VVC) were screened at 156 women with leukorrhagia by using rapid microscopic examination or by fungal culture. Those with postitive outcomes were divided into VVC group and RVVC group, but those with negative outcomes served as control group. The difference in risk factors among the three groups was compared. The efficacy of clotrimazole vaginal suppositories and nyspapinum in treating RVVC was observed. The results showed that antibiotic use, dounching (traditional Chinese medicine), norethindrone or megestrol and pregnancy were the risk factors for RVVC. Clotrimazole vaginal suppositiries can control the recurrence of RVVC.
Keywords:candidiasis   vulvovaginal  recurrence  risk factors  treatment
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