摘要
目的 探讨复发性真菌性阴道炎采用局部用药联合护理干预治疗的临床效果。方法 选取2012年12月-2014年12月永丰县妇幼保健院收治的178例复发性真菌性阴道炎患者作为研究对象,根据计算机SPSS 20.0统计学软件包随机、均等分成两组,每组各89例。对照组采用单纯的药物治疗,包括强化治疗（氟康唑150 mg,1次/d;夜间用20%的小苏打水进行坐浴,每次约15 min;睡前应用一枚硝酸咪康唑栓200 mg,每晚1次）和巩固治疗（以局部给药为主,用药方式为睡前应用一枚硝酸咪康唑栓200 mg,每晚1次）,观察组采用局部用药联合护理干预方法进行治疗,分析两组患者致病原因并比较两组治疗总有效率、复发率、不良反应发生情况。结果 两组患者的主要病因包括洗浴或医疗器械的接触感染、性生活过程感染、白色念珠菌感染及其他因素,两组各项因素感染所占比例比较,差异无统计学意义（P〉0.05）。观察组治疗总有效率为94.38%,对照组为64.04%,差异有统计学意义（P〈0.01）。观察组复发率为7.89%,优于对照组的31.46%,差异有统计学意义（P〈0.05）。两组不良反应发生率比较,观察组更低（P〈0.05）。结论 采用局部用药联合护理干预治疗复发性真菌性阴道炎可获得较好的效果,可有效控制治疗后复发。
Objective To explore the clinical effect of local medication combined with nursing intervention on recurrent mycotic vaginitis.Methods From December 2012 to December 2014,178 patients with recurrent mycotic vaginitis treated in Maternal and Child Health Care Hospital of Yongfeng County were selected as research objects and randomly divided into two groups according to SPSS 20.0 statistics software package of computer,89 cases in each group.Patients in the control group were given drug treatment alone,including intensive treatment （Flueonazole 150 mg, once daily;night with 20% sodium bicarbonate water bath,each time about 15 minutes before going to bed;the application of a Mieo Nazole Nitrate Suppositories 200 mg,once a night） and consolidation therapy （with local medication,medication for bedtime application of a Mico Nazole Nitrate Suppositories 200 mg,once a night）,patients in the observation group were used lo- cal drug combined nursing intervention,the causes in two groups were analyzed,the total efficiency of treatment,the re- currence rate and the incidence of adverse reactions were compared between two groups.Results The main etiological factors in two groups included contacted infection of bathing or medical devices,sexual life process infection,candida albicans infection and other factors,there was no significant difference in the proportion of factors infection between two groups （P〉0.05）.The total effective rate in the observation group was 94.38%,with 64.04% in the control group,and the difference was statistically significant （P〈0.05）.The recurrence rate of the observation group was 7.89%,better than 31.46% of the control group,with statistical significance （P〈0.05）.The incidence rate of adverse reactions was compared between two groups,the observation group was lower （P〈0.05）.Conclusion Local medication combined with nursing intervention in the treatment of recurrent mycotic vaginitis can get better results,effectively control the recurrence after treatment.
出处
《中国当代医药》
2016年第35期178-180,189,共4页
China Modern Medicine
基金
江西省吉安市科技计划项目
关键词
护理干预
局部用药
复发性真菌性阴道炎
Nursing intervention
Local medication
Recurrent mycotic vaginitis
