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目的:观察治疗老年性阴道炎的两种方法的安全性和疗效。方法:选取上海市宝山区中西医结合医院2013年9月至2015年9月收治的80例老年性阴道炎患者为研究对象,研究对象随机分配为中药治疗组和西药治疗组,西药对照组:采用甲硝唑栓治疗。中药治疗组:中药方剂热熏治疗。对比疗效。结果:第1疗程中药组治愈11/30例(36.67%),西药组1/30例(3.33%),组间比较,差异具有统计学意义(P<0.05);第2疗程中药组治愈23/30例(76.67%),西药组5/30例(16.67%),组间比较,差异具有统计学意义(P<0.05);停药后3个月复发情况:中药组复发1/23例(4.34%),西药组复发4/5例(80%),组间比较,差异具有统计学意义(P<0.05),中药组中1例有外阴灼热感,西药组有2例刺痛感继续用药。结论:使用传统医学中医方法治疗老年性阴道炎,疗效显著且持久,复发率低,且能减少糖皮质激素的使用,为治疗老年性阴道炎提供了一种简单、安全、有效方法。
Objective: To observe the safety and efficacy of the two methods of treating senile vaginitis. Methods: Eighty elderly patients with senile vaginitis admitted from September 2013 to September 2015 in Shanghai Baoshan District Hospital of Integrated Chinese and Western Medicine were selected as research objects. The subjects were randomized to Chinese medicine treatment group and Western medicine treatment group. Western medicine control group: Metronidazole suppository treatment. Chinese medicine treatment group: traditional Chinese medicine prescription hot smoked treatment. Comparison of efficacy. Results: In the first course of treatment, 11/30 cases (36.67%) were cured in the traditional Chinese medicine group and 1 in 30 cases (3.33%) in the western medicine group. The difference was statistically significant (P <0.05) / 30 cases (76.67%), Western medicine group 5/30 cases (16.67%), the difference between the two groups was statistically significant (P <0.05); 3 months after stopping the recurrence: (4.34%) in the western medicine group and 4/5 (80%) in the western medicine group, the difference was statistically significant (P <0.05), one case of vulvar burning sensation in the traditional Chinese medicine group, and two cases of tingling sensation in the western medicine group Continue to medication. Conclusion: The treatment of senile vaginitis by the traditional Chinese medicine method has obvious curative effect and long lasting, low recurrence rate. It can reduce the use of glucocorticoid and provide a simple, safe and effective method for the treatment of senile vaginitis.