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目的:对外阴阴道假丝酵母菌病的诊治分析予以探讨。方法:随机选取我院在2010年6月至2013年6月间收治的外阴阴道假丝酵母菌病患者69例,依据患者的药敏结果及引导分泌物真菌培养,为患者应用个体化的巩固治疗方案,采用口服与阴道用药的治疗方案,。结果:药敏结果显示,咪康唑的药物敏感率为53.6%,克霉唑的药物敏感率为94.2%,制霉素的药物敏感率为100%,伊曲康唑的药物敏感率为:62.3%,氟康唑的药物敏感率为75.4%,应用该治疗方案对患者实施治疗,其总的治疗有效率高达91.3%,停药之后,对患者实施3个月、6个月、9个月的随访,其治愈率分别为:81.2%、73.9%、69.6%。结论:在外阴阴道假丝酵母菌病的治疗过程中,应用敏感药物强化与巩固治疗相结合的方法开展治疗,具有较高的治疗有效率与治愈率,值得在临床应用中推广。
Objective: To investigate the diagnosis and treatment of vulvovaginal candidiasis. Methods: 69 cases of vulvovaginal candidiasis were randomly selected in our hospital from June 2010 to June 2013. Based on the drug susceptibility results of the patients and the guidance of fungal culture of secretions, patients were treated with individualized consolidation Treatment options, the use of oral and vaginal drug treatment programs. Results: The susceptibility results showed that the drug sensitivity rate of miconazole was 53.6%, the drug sensitivity rate of clotrimazole was 94.2%, and the drug sensitivity rate of nystatin was 100%. The drug sensitivity rate of itraconazole was: 62.3%, fluconazole drug sensitivity was 75.4%, the treatment of patients with the treatment of patients, the total effective rate of up to 91.3%, after stopping the patient for 3 months, 6 months, 9 Month follow-up, the cure rates were: 81.2%, 73.9%, 69.6%. Conclusion: In the treatment of vulvovaginal candidiasis, the combination of sensitization and consolidation therapy should be used to treat vulvovaginal candidiasis, which has high therapeutic efficiency and cure rate, which is worth to be popularized in clinical application.