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目的分析兰州市城关区某社区育龄妇女阴道感染患者局部用药配合蓝氧治疗前后阴道乳酸杆菌分布情况。方法对前来城关区计划生育服务站就医、有自觉症状的23~45岁已婚育龄妇女阴道分泌物行常规检查,检查导致感染的病原微生物,阴道内乳酸杆菌的数量行半定量分析,对感染者进行阴道局部用药及蓝氧治疗。结果 338例患者滴虫感染123例(36.39%),念珠菌感染98例(29.00%),细菌性阴道病62例(18.34%),杂菌性阴道炎55例(16.27%);阴道内乳酸杆菌检出率,较高为念珠菌性阴道病,达67.35%;细菌性阴道病较低,仅为20.97%;杂菌性阴道炎最低,占9.09%。感染者经抗病原体治疗结合蓝氧治疗,338例患者自觉症状消失,阴道内乳酸杆菌数量明显增加,尤以治疗后24~30 d增加明显。结论该社区育龄期妇女阴道感染与阴道内乳酸杆菌缺失有关,蓝氧治疗可以促进阴道内乳酸杆菌增长。
Objective To analyze the distribution of vaginal lactobacilli before and after treatment with topical administration of blue-oxygen in vaginal infections in women of childbearing age in a community in Chengguan District of Lanzhou City. Methods The vaginal discharges of married women of childbearing age from 23 to 45 years old who came to Family Planning Service Station in Chengguan District for routine medical examination were checked by routine examination to check the quantity of pathogenic microorganisms and lactobacilli in vagina for semi-quantitative analysis. Infections for vaginal topical and blue-oxygen treatment. Results Thirty-three (36.39%) cases of Trichomonas infection, 98 (29.00%) Candida infections, 62 bacterial vaginosis (18.34%) and 55 bacterial vaginosis (16.27% Bacillus detection rate was higher for Candida vaginosis, up to 67.35%; bacterial vaginosis was low, only 20.97%; the lowest bacterial vaginitis, accounting for 9.09%. Infection with anti-pathogen therapy combined with blue oxygen therapy, 338 patients disappeared symptoms, vaginal lactobacilli significantly increased the number, especially after 24 to 30 d increased significantly. CONCLUSIONS: Women of childbearing age in this community have vaginal infections associated with vaginal lactobacilli deficiency, and blue-oxygen therapy can promote vaginal lactobacilli growth.