细菌性阴道病合并其他妇科感染性疾病的临床特点和治疗效果分析

Clinical characteristics of bacterial vaginosis patients complicated with other gynecological infectious diseases and therapeutic effects

  • 摘要: 目的 对细菌性阴道病合并其他妇科感染性疾病患者的临床特点进行分析,观察其临床治疗效果,旨在为临床治疗提供参考。方法 回顾性分析2015年1月-2016年12月616例医院收治的细菌性阴道病患者的临床资料,统计患者合并其他妇科感染性疾病情况,对细菌性阴道病合并其他妇科感染性疾病患者给予替硝唑胶囊联合甲硝唑栓治疗,观察其临床治疗效果。结果 616例细菌性阴道病患者中62例合并其他妇科感染性疾病,占10.06%; 616例患者阴道分泌物中解脲脲支原体检出最多,占32.1%;混合型感染患者62例,类型为细菌+酵母菌,占32.3%;细菌性阴道病患者合并其他妇科疾病以盆腔炎为主,占48.4%;细菌性阴道病合并其他妇科感染性疾病患者经替硝唑胶囊联合甲硝唑栓药物治疗后,痊愈54例,占87.1%,好转8例,占12.9%。结论 临床上细菌性阴道病患者合并其他妇科感染性疾病的发生率较高,应加强早期诊断与治疗,对混合感染的患者给予替硝唑胶囊联合甲硝唑栓治疗能够获得较为满意的临床疗效。

     

    Abstract: OBJECTIVE To investigate the clinical characteristics of bacterial vaginosis patients complicated with other gynecological infectious diseases and observe the clinical therapeutic effects so as to provide guidance for clinical treatment.METHODSThe clinical data of 616 patients with bacterial vaginosis who were treated in hospitals from Jan 2015 to Dec 2016 were retrospectively analyzed, the patients who were complicated with other gynecological infectious diseases were statistically analyzed, the bacterial vaginosis patients complicated with other gynecological infectious diseases were treated with tinidazole capsules combined with metronidazole suppositories, and the clinical therapeutic effects were observed.RESULTSOf the 616 bacterial vaginosis patients, 62 were complicated with other gynecological infectious diseases, accounting for 10.06%. Among the pathogens isolated from vaginal secretions of the 616 patients, Ureaplasma urealyticum was dominant, accounting for 32.1%. Totally 62 patients had mixed infections, 32.3% of whom had bacteria plus yeast infections. The patients complicated with pelvic inflammation were dominant among the bacterial vaginosis patients complicated with other gynecological infectious diseases, accounting for 48.4%. Among the patients who were treated with tinidazole capsules combined with metronidazole suppositories, 54 (87.1%) were cured, and 8 (12.9%) were improved.CONCLUSIONThe incidence of other gynecological infectious diseases is high among the patients with bacterial vaginosis. It is necessary to strengthen early diagnosis and treatment, and tinidazole capsules combined with metronidazole suppositories can achieve satisfactory clinical effect on treatment of the patients with the mixed infection.

     

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