摘要
目的探讨清热化湿外洗方治疗湿热下注型阴道炎的临床效果。方法选取2015年1月—2016年1月收治的180例湿热下注型阴道炎患者,按照随机数字表法将患者分为2组,对照组90例采用保妇康栓治疗,观察组90例采用自拟清热化湿外洗方治疗,对比2组患者的治疗效果。并以炎症类型为基础将观察组90例患者分为细菌性阴道炎组(45例)、霉菌性阴道炎组(30例)、滴虫性阴道炎组(15例),比较不同类型炎症患者的临床疗效。结果治疗前2组患者证候积分比较无统计学差异(P>0.05),治疗后观察组患者的证候积分明显优于对照组(P<0.05);观察组与对照组患者临床总有效率、复发率比较均存在明显差异(P<0.05);且观察组内细菌性阴道炎组患者的临床疗效明显高于其他2组(P<0.05);而霉菌性阴道炎组患者的临床疗效则略高于滴虫性阴道炎组,差异无统计学意义(P>0.05)。结论采用清热化湿外洗方治疗湿热下注型阴道炎的临床效果显著,有利于改善患者临床症状;且该方对于细菌性阴道炎的效果更佳,值得在临床上推广应用。
Objective To investigate the clinical effect of clearing away heat and dampness washing prescription in the treatment of vaginitis of dampness-heat in lower jiao.Methods 180 cases of vaginitis of dampness-heat in lower jiao in our hospital from January 2015 to January 2016 were randomly divided into two groups.90 cases in the control group were treated with Baofukang suppository,and the observation group of 90 cases applied clearing away heat and dampness washing prescription.The therapeutic effect was compared.And to the type of inflammation as the foundation of the observation group of 90 patients were divided into bacterial vaginosis group(n=45 cases),fungal vaginitis group(n=30 cases),trichomonas vaginitis group(n=15 cases).The clinical effect of different types of inflammation patients was compared.Results There was no significant difference in symptom scores between the two groups before treatment(P>0.05).After treatment,the symptom scores of the observation group were significantly better than those of the control group(P<0.05).The total effective rate of the observation group compared with the control group.There were significant differences in recurrence rate(P<0.05).The clinical efficacy of the patients in the bacterial vaginitis group was significantly higher than that in the other two groups(P<0.05).The clinical efficacy of the patients in the fungal vaginitis group was slightly lower.Compared with the trichomonas vaginitis group,there was no statistical significance(P>0.05).Conclusion The clinical effect of clearing away heat and dampness washing prescription is significantly.It can improve the clinical symptoms;and the effect of the prescription for bacterial vaginitis is,and is worthy of clinical application.
作者
朱迎萍
ZHU Yingping(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine,Zhejing Province,Hangzhou 310006,China)
出处
《光明中医》
2020年第20期3147-3149,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
浙江省中医药科学研究基金项目(No.2020ZB087)。
关键词
带下病
清热化湿外洗方
湿热下注证
细菌性阴道炎
中医外治法
leukorrheal diseases
clearing away heat and dampness washing prescription
dampness-heat syndrome in lower jiao
bacterial vaginitis
external therapy of TCM
