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自拟二黄汤阴道灌洗联合妇科千金片对细菌性阴道炎的抑菌效果研究

花匠小妙招
2024-11-09 11:24

自拟二黄汤阴道灌洗联合妇科千金片对细菌性阴道炎的抑菌效果研究

《中国中医药现代远程教育》[ISSN:1672-2779/CN:11-5024/R]

文章信息/Info

Title:自拟二黄汤阴道灌洗联合妇科千金片对细菌性阴道炎的抑菌效果研究

卷期:2025年23卷11期

作者:邓霄玲1 巫婷2 吴小勤3丁自萍2 刘凤群1

1.萍乡市中医院检验科，江西萍乡33700; 2.萍乡市中医院妇产科，江西萍乡 33700 ；3.湘东区中医院妇产科，江西萍乡 33700

Author(s):Deng Xiaoling1 Wu Ting2 Wu Xiaoqin3 Ding Ziping2 Liu Fengqun1

1.Department of Clinical Laboratory, Pingxiang Hospital of Traditional Chinese Medicine, Pingxiang 33700, Jiangxi, China; 2. Department of Obstetrics and Gynecology, Pingxiang Hospital of Traditional Chinese Medicine, Pingxiang 33700, China; 3. Department of Obstetrics and Gynecology, Xiangdong Hospital of Traditional Chinese Medicine, Pingxiang 33700, China

关键词自拟二黄汤、阴道灌洗、细菌性阴道炎、抑菌效果

Keywords:self-prepared Erhuang decoction, vaginal lavage, bacterial vaginitis, antibacterial effect

摘要:目的观察自拟二黄汤阴道灌洗联合妇科千金片对细菌性阴道炎的抑菌效果。方法：选取我院80例细菌性阴道炎患者分为实验组和对照组各40例，实验组予以自拟二黄汤阴道灌洗治疗，对照组予以甲硝唑阴道泡腾片阴道塞药，两组均联合口服妇科千金片，连续治疗7d为一个疗程。连续三个疗程后随访。比较两组患者治疗前、后临床症状评分及临床疗效；比较两组患者治疗三个疗程后的复发情况。结果治疗后两组患者外阴瘙痒、白带增多、白带异味、阴道灼烧感等症状评分与治疗前比较均显著下降，差异有统计学意义（P<0.05）；实验组患者治疗总有效率(92.5%)高于对照组(77.5%)，差异有统计学意义（P<0.05）；实验组复发率(7.5%)明显低于对照组(22.5%)，差异有统计学意义P<0.05）。结论自拟二黄汤阴道灌洗联合妇科千金片对细菌性阴道炎的抑菌效果明显，临床疗效确切，纯中药内服外治，安全无副作用，降低复发率，值得推广。

AbstractObjective:To observe the antibacterial effect of Erhuang Decoction Yindao lavage combined with Fuke Qianjin tablets on bacterial vaginitis. Methods 80 patients with bacterial vaginitis in our hospital were selected and divided into experimental group and control group, 40 cases in each group. The experimental group was treated with self-designed Erhuang decoction and vaginal lavage, while the control group was treated with metronidazole vaginal effervescent tablets and vaginal stopper. Both groups were combined with oral gynecological Qianjin tablets for a course of 7 days. Follow-up was performed after three consecutive courses of treatment. The clinical symptom scores and clinical efficacy before and after treatment were compared between the two groups. The recurrence after three courses of treatment was compared between the two groups. Results After treatment, the symptom scores of vulvar pruritus, increased leucorrhea, leucorrhea odor, vaginal burning sensation in the two groups were significantly decreased compared with those before treatment, and the differences were statistically significant (P<0.05). The total effective rate of experimental group (92.5%) was higher than that of control group (77.5%), and the difference was statistically significant (P<0.05). The recurrence rate of the experimental group (7.5%) was significantly lower than that of the control group (22.5%), and the difference was statistically significant (P<0.05). Conclusion The self-prepared Erhuang decoction Yindao lavage combined with Fuke Qianjin tablet has obvious antibacterial effect and definite clinical effect on bacterial vaginitis. The pure Chinese medicine is safe and has no side effects and can reduce the recurrence rate, which is worthy of promotion.

细菌性阴道炎，属中医“带下病”范畴，中医临床常见妇科疾病。西医认为该病患者阴道受大量细菌感染。中医强调带下病的主要病因是湿热之邪。在祖国医学中，有关带下病的论述很多。带下病名始见于《素问-骨空论》，《傅青主女科》提出：“夫带下俱是湿症。”带下病外治法首见于张仲景《金匮要略》的矾石丸。

参考文献/References:

[1]王娟娟.阴道灌洗纳药法辅治细菌性阴道病临床观察[J].实用中医药杂志,2021,37(01):131-132.
[2]刘畅.中药阴道灌洗联合甲硝唑治疗细菌性阴道炎临床观察[J].光明中医,2020,35(09):1379-1381.
[3]刘平.自拟中药灌洗联合甲硝唑对细菌性阴道炎患者的临床效果[J].黑龙江中医药,2021,50(04):55-56.
[4]中华医学会妇产科学分会感染性疾病协作组. 细菌性阴道病诊治指南（2021修订版）[J].中华妇产科杂志，2021，56（1）：3-6.