Objective To explore the effect of pelvic floor muscle exercises (PFME) in the treatment of recurrent vulvovaginal candidiasis (RVYC). Methods 100 women of non-pregnancy and lactation with history of vulvo-vaginal candidiasis (three times or more within a year) were equally divided into the study group and the control group. The study group received PFME one week after clotrimazole suppositories, while the control group received clotrimazole suppositories. The patients and their sexual partners had fluconazole in both groups. Clinical efficacy was compared between the two groups. Results The cure rate two months and three months after treatment in the study group was significantly higher than that in the control group (P<0.05 and P<0.01). The total effective rate three months after treatment in the study group was 90%, which was significantly higher than 66% in the control group (P< 0.01). Conclusion RWC can be treated effectively by adjuvant application of PFME.%目的 探讨结合盆底肌肉锻炼治疗复发性念珠菌性阴道炎的有效性.方法采用对照观察的方法,选择一年内已有三次或以上念珠菌性阴道炎病史,非妊娠期和哺乳期妇女共100例,随机分为研究组和对照组,各50例,研究组予以阴道塞克霉唑栓治疗,用药1周后开始进行盆底肌肉锻炼；对照组予以阴道塞克霉唑栓治疗；两组患者和性伴侣均口服氟康唑,比较两组临床疗效.结果治疗后第2个月和第3个月,研究组痊愈率比对照组高,两组比较差异有统计学意义(P＜0.05和P＜0.01)；治疗后第3个月,研究组治疗总有效率为90％,比对照组(66％)高,两组比较差异有统计学意义(P＜0.01).结论结合盆底肌肉锻炼可有效治疗复发性念珠菌性阴道炎.
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