幼女淋菌性阴道炎122例临床分析  

Clinical Analysis of 122 Cases of Young Children with Gonococcus Vaginitis

作　　者：陈晓园 陈浮 邓霭辉 谭剑平[2] 

机构地区：[1]广东省东莞市虎门镇太平人民医院,广东东莞523900 [2]中山大学附属第二医院,广东广州510120

出　　处：《实用妇产科杂志》2010年第9期683-685,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨幼女淋菌性阴道炎的临床特点及治疗方法。方法:选择本院门诊就诊的122例幼女淋菌性阴道炎病例,随机分为对照组62例和研究组60例。对照组单纯采用静脉滴注抗生素全身用药,研究组采用静脉滴注抗生素全身用药联合甲硝唑局部冲洗,治疗前后均行分泌物常规检查,包括白细胞、清洁度、滴虫及淋菌检测。患儿母亲亦行白带常规检查和分泌物淋菌检测。结果:母女淋病的同患率为45.90%,其中患儿滴虫阳性率36.07%,母亲滴虫阳性率26.23%。治疗7天后复查分泌物,研究组患儿白细胞异常比例、清洁度异常比例、滴虫阳性率、淋菌阳性率均下降,其中白细胞异常比例、滴虫阳性率、淋菌阳性率与对照组比较,差异有统计学意义(P<0.05)。结论:幼女淋菌性阴道炎以局部症状为主,易合并普通阴道炎,治疗以静脉滴注抗生素加甲硝唑外阴阴道冲洗为首选方法,同时治疗家庭中的其他患病者对根治本病、防止复发尤为重要。Objective：To analyze the treatment and outcomes of Young children gonococcus vaginitis. Methods.122 young girl with gonococcus vaginitis were recruited in this study, and randomely subdivided into study group（62 patients） and control group （60 patients）. The control group was treated by intravenous antibiotics, while the study group had both intravenous antibiotics and intravaginal douching with arilin. Vaginal discharge was tested before and after treatment both in the girls and their mothers. Results：The rate for Mothers and girls catching gonococcus at the same time was 45.90%, the positive rates for tricomonus infection in the girls and mothers were 36.07%and 26.23% respectively. After seven days＇treatment, the abnormal vaginal discharge ratio, positive tricomonous rate and positive gonococcus rate in the study group were decreased markedly than those in the control group （ P 〈 0.05）. Conclusions ：The main manifestation of the young children gonococcus vaginitis is local synptom, and easily complicated with general vaginitis. Intravenous antibiotics and intravaginal douching with arilin were effective method. Also,it is critical to treat the other patients in the family at the same time to prevent reoccurrance.

关 键 词：幼女 淋菌性阴道炎 感染 

分 类 号：R759.23[医药卫生—皮肤病学与性病学]