74例霉菌性阴道炎病原菌分析及酮康唑治疗  

ISOLATION AND IDENTIFICATION OF PATHOGENIC FUNGI AND ORAL TREATMENT WITH KETOCONAZOLE IN 74 CASES OF MYCOTIC VAGINITIS

作　　者：刘树森[1] 阎玉梅[1] 贾殿菊[1] 金淑娟 刘静[1] 段昕所[2] 蒋青[2] 

机构地区：[1]承德医学院附属医院妇产科 [2]承德医学院附属医院皮肤科

出　　处：《承德医学院学报》1991年第1期17-20,共4页Journal of Chengde Medical University

摘　　要：本文对74例霉菌性阴道炎患者的阴道分泌物进行了真菌检查,直接镜检阳性率为94.59％,真菌培养阳性率为86.49％,白念球菌占培养阳性的72.72％;伪热带念珠菌占1.52％;类星形念珠菌占3.03％;酵母菌占18.18％,酵母样菌占4.55％。酮康唑治疗其中41例,痊愈率为78.05％,总有效率为100％,不良反应发生率为31.72％。较多的表现为头晕、恶心、皮肤瘙痒,少数表现为头痛、腹痛、腹泻、皮肤起风团,肝功能异常。The smears of vagina exudute from 74 patients with mycotic vaginitis were examined by microscope, with a positive detection rate of 94.59％. Then, fungi were confirmed by culture, the fungal growth being positive in 66 cases (89.9％)ineluding 51 cases candida growths(77.27％).The species of candida were isolated ane identified. Among the growing conlonies, candida albicans accounded for 72.72％, candida pseudotropicalis 1.53 ％ and candida stellatoidea 3.03 ％. Moreover, yeast and yeast-like fungs accounted for 18.8％and 4.5 5％ of the positive culture, respectively. Forty-one of the 74 patients were treated with ketcconazol, coming up to the cure rate of 78.50％and the total response rate of 100％. Thirteen of the 41 Patients had adverse reactions (31.72％). Most of them showed dizziness, nausea and itching. But headache, diarrhea, abdominal pain, urticariaand liver disturbartce occasionatly occurred.

关 键 词：霉菌性阴道炎 白念珠菌 酵母菌 酵母样菌 酮康唑 

分 类 号：R[医药卫生]