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目的:探讨倍美力软膏联合苦参凝胶治疗老年性阴道炎对阴道微生态的影响。方法:采用随机单盲方法,分为倍美力软膏(对照组)、倍美力软膏联合苦参凝胶组(观察组),治疗前、治疗后7天和30天分别采取阴道分泌物涂片进行阴道乳酸杆菌半定量检测。结果:治疗前对照组阴道乳酸杆菌阳性率48.39%(15/31),观察组为50.00%(15/30),阴道乳酸杆菌阳性率、检出量两组差异无统计学意义(P>0.05);治疗后第7天对照组阴道乳酸杆菌阳性率74.19%(23/31),观察组稍高为86.67%(26/30),阴道乳酸杆菌检出量两组差异无统计学意义(P>0.05);治疗后第30天对照组阴道乳酸杆菌阳性率80.64%(25/31),观察组为96.67%(29/30),阴道乳酸杆菌检出量显著高于对照组,两组比较差异有统计学意义(P<0.05)。结论:倍美力联合苦参凝胶治疗老年性阴道炎可明显改善阴道微生态。
Objective: To explore the effect of Baili Li ointment combined with kushen gel on vaginal microecology in the treatment of senile vaginitis. Methods: Randomized single-blind method was divided into Beimei ointment (control group), Beimei ointment combined with Kushen gel group (observation group), before treatment, 7 days and 30 days after treatment were taken vaginal discharge Vaginal Lactobacillus tablets for semi-quantitative detection. Results: Before treatment, the positive rate of Lactobacillus in the control group was 48.39% (15/31), and the observation group was 50.00% (15/30). There was no significant difference between the two groups in the positive rate of lactobacilli (P> 0.05) ). On the 7th day after treatment, the positive rate of Lactobacillus in the control group was 74.19% (23/31), the observation group was slightly higher than that of the control group (86.67%, 26/30). There was no significant difference between the two groups in the detection of Lactobacillus > 0.05). On the 30th day after treatment, the positive rate of Lactobacillus in the control group was 80.64% (25/31) and that in the observation group was 96.67% (29/30), the detection rate of Lactobacillus was significantly higher than that of the control group The difference was statistically significant (P <0.05). Conclusion: Baili Li combined with Kushen gel treatment of senile vaginitis can significantly improve vaginal microflora.