细菌性阴道病合并妇科感染性疾病的诊治体会

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目的:探析细菌性阴道病合并妇科感染性疾病的临床特点和治疗效果。方法:选择本院2011年3月~2013年3月经门诊检查确诊的妇科炎症感染病例128例,对所选病例进行常规妇科检查,检查项目包括有宫腔镜、阴道分泌物、妇科B超,经过检查和医师诊断确诊的细菌性阴道病80例患者根据其当时采用的治疗方法分成观察组和对照组,每组40例,回顾性分析两组治疗效果。观察组服用甲硝唑、维生素C进行治疗,对照组单纯服用甲硝唑治疗,观察疗效。结果:观察组经过甲硝唑联合维生素C治疗后,有20例患者显效,14例治疗有效,治疗总有效率为85%;对照组患者单纯使用甲硝唑治疗后,有14例患显效,10例治疗有效,治疗总有效率为60%。结论:单纯性的细菌性阴道病炎症临床表现不明显,而合并有其他妇科感染性疾病的患者疾病发生率高,早诊断早治疗效果更好,甲硝唑联合维生素C治疗细菌性阴道病合并妇科感染性疾病的临床疗效显著。 Objective: To investigate the clinical features and therapeutic effects of bacterial vaginosis combined with gynecological infectious diseases. Methods: 128 cases of gynecological inflammation confirmed by outpatient examination in our hospital from March 2011 to March 2013 were selected. The routine gynecological examinations were performed on the selected cases. The examination items included hysteroscopy, vaginal discharge, gynecological B- Eighty patients with bacterial vaginosis confirmed by examination and physician diagnosis were divided into observation group and control group according to the treatment methods they used at that time, with 40 cases in each group. The therapeutic effects of the two groups were retrospectively analyzed. The observation group was treated with metronidazole and vitamin C. The control group was treated with metronidazole alone, and the curative effect was observed. Results: The observation group after metronidazole combined with vitamin C treatment, 20 patients markedly effective, 14 cases of effective treatment, the total effective rate was 85%; control group of patients treated with metronidazole alone, 14 patients were markedly effective, 10 cases of effective treatment, the total effective rate of 60%. Conclusion: The clinical manifestations of simple bacterial vaginosis are not obvious, while the patients with other gynecological infectious diseases have higher incidence of disease, early diagnosis and early treatment are better, metronidazole combined with vitamin C treatment of bacterial vaginosis The clinical efficacy of gynecological infectious diseases is significant.
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