臭氧治疗细菌性阴道炎的疗效分析

摘要

目的 探讨臭氧治疗细菌性阴道炎的临床疗效.方法 选取2015年11月至2017年2月于承德市中心医院就诊的细菌性阴道炎患者共78例作为研究对象,采用随机数字表法分为试验组(39例)和对照组(39例),对照组患者采用常规药物治疗,试验组在此基础上加用臭氧治疗,治疗前后应用视觉模拟评分法(visual analogue scale,VAS)评估患者症状改善情况.同时检测所有患者阴道分泌物中致病菌的分布情况.结果 治疗前两组患者的VAS评分差异无显著性(P＞0.05),治疗后两组VAS评分均明显低于治疗前,且试验组明显低于对照组(P＜0.05).78例患者阴道分泌物中共培养出致病菌92株,其中革兰阳性菌28株(30.43％),革兰阴性菌62株(67.39％),真菌2株(2.17％).治疗总有效率比较,试验组明显高于对照组(P＜0.05),后期随访结果显示试验组患者疾病复发率明显低于对照组(P＜0.05).结论 使用臭氧治疗细菌性阴道炎效果显著,能快速缓解患者的临床症状,减少后期复发,治疗安全性高,具有一定推广价值.%Objective To investigate the clinical ef?cacy of ozone therapy. Method 78 patients with bacterial vaginitis who were treated in Chengde Central Hospital from November 2015 to February 2017 were selected as the research objects. They were divided into experimental group (39 cases) and control group (39 cases) by random number table method. The control group was treated with routine drugs. On this basis, the experimental group was treated with ozone, and before and after treatment, the control group was treated with ozone. The VAS was used to evaluate the improvement of symptoms. At the same time, the distribution of pathogenic bacteria in vaginal secretions of all patients was detected. Result Before treatment, there was no signi?cant difference in the VAS scores between the two groups (P＜0.05). The scores of the two groups were signi?cantly lower than those before treatment, and the experimental group was signi?cantly lower than the control group (P＜0.05). A total of 92 pathogenic bacteria were isolated from vaginal secretions of 78 patients, including 28 (30.43％) Gram-positive bacteria, 62 (67.39％) Gram-negative bacteria and 2 (2.17％) fungi. Gram-positive bacteria were the main pathogens of bacterial vaginitis. The results showed that there was no signi?cant difference in the distribution of bacteria between the two groups. The results of the follow-up survey showed that the disease recurrence rate of the experimental group was also signi?cantly lower than that of the control group (P＜0.05). Conclusion The use of ozone for the treatment of bacterial vaginitis has a signi?cant effect, can quickly alleviate the clinical symptoms of patients, reduce the recurrence of late, safe treatment, and has a promotional value.