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【目的】观察香莲栓和咪康唑栓联合治疗单纯性外阴阴道念珠菌病(VVC)的抗菌增效作用,探讨中西医结合治疗外阴阴道念珠菌病的优势。【方法】将65例患者随机分为试验组35例和对照组30例。试验组给予香莲栓和咪康唑栓治疗,对照组给予咪康唑栓治疗,共用药7 d。观察2组治疗前后证候积分的变化情况,评价2组的临床疗效及安全性。【结果】(1)经1个疗程治疗后,试验组的愈显率和总有效率分别为60.00%、88.57%,优于对照组的23.33%、60.00%(均P<0.01)。(2)治疗后,2组的证候积分均较治疗前显著降低(P<0.01),且试验组在改善证候积分方面作用优于对照组(P<0.01)。(3)安全性方面:试验组中有1例诉使用后自觉外阴瘙痒加重,检查发现外阴阴道潮红,无肿,无水疱,无其他不适,嘱继续用药后患者症状消失,不考虑为过敏反应;对照组无1例出现过敏等不适表现。【结论】香莲栓和咪康唑栓联合治疗单纯性外阴阴道念珠菌病,可明显改善临床症状,且安全性好,值得在临床推广应用。
【OBJECTIVE】 To observe the antimicrobial effect of combination of Xianglian suppository and miconazole suppository in the treatment of simple vulvovaginal candidiasis (VVC) and to explore the advantages of combination of traditional Chinese and western medicine in the treatment of vulvovaginal candidiasis. 【Methods】 65 patients were randomly divided into experimental group 35 cases and control group 30 cases. The experimental group was given Xianglian suppository and miconazole suppository, and the control group was treated with miconazole suppository. The drug was given for 7 days. The changes of syndrome scores before and after treatment were observed in two groups to evaluate the clinical efficacy and safety of the two groups. 【Results】 (1) After 1 course of treatment, the cure rate and total effective rate in the experimental group were 60.00% and 88.57%, respectively, which were better than 23.33% and 60.00% in the control group (all P <0.01). (2) After treatment, the scores of syndromes in both groups were significantly lower than those before treatment (P <0.01), and the experimental group was better than the control group in improving syndrome score (P <0.01). (3) Safety: In the test group, 1 patient complained of increased pruritus after conscious use of the vulva. No vaginal flushing, no swelling, no blisters were found in the test group. No other discomfort was found. The patient’s symptoms disappeared after continued treatment, and the allergic reaction was not considered None of the patients in the control group developed allergies and other symptoms. 【Conclusions】 Xianglian suppository and miconazole suppository combined treatment of simple vulvovaginal candidiasis can significantly improve the clinical symptoms, and the safety is good, which is worth popularizing in clinic.