制霉菌素与甲硝唑联合治疗真菌性阴道炎患者局部免疫及微循环的影响研究

Influence of fungicidin and combined with metronidazole for local immune and microcirculation in patients with colpitis mycotica

  • 摘要: 目的 研究制霉菌素与甲硝唑对真菌性阴道炎患者局部免疫及微循环的影响状态,以了解两药联合应用对该类患者的应用价值。方法 将2014年6月-2015年9月于医院进行治疗的66例真菌性阴道炎患者根据随机分配的原则分为对照组(制霉菌素组)33例和观察组(制霉菌素和甲硝唑组)33例,两组均治疗14 d,统计及比较两组治疗前与治疗后不同时间的局部免疫及微循环指标,数据采用SPSS15.0软件进行统计分析。结果 治疗前1d两组患者局部免疫指标中的白细胞介素4(IL-4)、IL-6、IL-12、γ干扰素(IFN-γ)及微循环中的毛细血管管径、血流灌注、红细胞聚集、水肿情况差异均无统计学意义,而治疗后不同时间观察组的毛细血管管径及血流灌注均高于对照组,其他评估指标均低于对照组,差异有统计学意义(P<0.05)。结论 制霉菌素和甲硝唑可更为有效地改善真菌性阴道炎患者局部免疫及微循环状态,对于该类患者的阴道局部状态具有积极的改善作用。

     

    Abstract: OBJECTIVE To study the influence status of fungicidin and metronidazole for local immune and microcirculation in patients with colpitis mycotica,in order to understand the application value of combined application of the two drugs. METHODS A total of 56 patients with colpitis mycotica treated in hospital from Jun. 2014 to Sep. 2015 were divided into control group(fungicidin group)with 33 cases and observation group(fungicidin and metronidazole group)with 33 cases by the principle of random allocation. The two groups were all treated for 14 days. Then the local immune and microcirculation indexes of two groups before the treatment and at different time after the treatment were calculated and compared. The results were statistically analyzed by software SPSS15.0. RESULTS The local immune indexes including interleukin 4(IL-4),interleukin 6(IL-6),interleukin 12(IL-12),interferon γ(IFN-γ) and microcirculation indexes including capillary tube diameter, blood flow perfusion, red blood cell aggregation and edema situation of two groups at 1st day before the treatment all had no significant differences,while the capillary tube diameter and blood flow perfusion of observation group at different time after the treatment were all higher than those of the control group,and other evaluation indexes were all lower than those of the control group(P<0.05). CONCLUSION The fungicidin and metronidazole can more effectively improve the local immune and microcirculation of patients with colpitis mycotica,so the treatment plays an active improvement role for the vaginal local state of patients.

     

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