外阴阴道假丝酵母菌病(VVC)是育龄期妇女的常见病.针对VVC的治疗方法主要有局部用药和口服用药,两种方法均有效.大量抗真菌药物的出现使选择用药出现争论.一般认为,唑类是首选用药,制霉菌素、两性霉素B和硼酸是二线用药,乳酸杆菌活菌制剂、精油疗法、抗过敏药为辅助用药.非传统疗法可治疗较顽同的病例.治疗中也需要考虑其他一些重要因素,包括妊娠、月经、药物敏感性、个人喜好等.%Vulvovaginal candidiasis (VVC)is a common disease, occurring mostly in women of childbearing age. Currently available options for the treatment of VVC include local and oral therapy. Both alternatives are effective. The availability of numerous antifungal drugs for topical administration makes the selection quite challenging. Now it is generally considered that azoles is the preference, with nystatin, amphotericin B and boric acid considered as secondline alternatives, with lactobacillus, oils and antihistamine as adjuvant alternatives. Unconventional approaches may also be regarded as suitable in patients refractory to usual treatments. When treatment of VVC, some other important issues should be taken into consideration, such as pregnancy, menopause, drug hypersensitivity, women′s preference and so on.
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