苦参凝胶临床应用指导意见  

Guideline on clinical application of Kushen Gel

作　　者：杜惠兰[1] 魏绍斌[2] 谈勇[3] 胡晓华[4] 王东梅[5] 赵红[6] 梁瑞宁[7] 刘雁峰[8] 冯晓玲[9] 邓高丕[10] 闫颖[11] 刘笑梅[12] 金义光[13] 于春泉[14] 刘鸿雁[15] 李沛霖[16] DU Hui-lan;WEI Shao-bin;TAN Yong;HU Xiao-hua;WANG Dong-mei;ZHAO Hong;LIANG Rui-ning;LIU Yan-feng;FENG Xiao-ling;DENG Gao-pi;YAN Ying;LIU Xiao-mei;JIN Yi-guang;YU Chun-quan;LIU Hong-yan;LI Pei-lin(Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Sichuan 610072,China;Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China;China-Japan Friendship Hospital,Beijing 100029,China;Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330012,China;Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The First Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300193,China;Tianjin Nankai Hospital,Tianjin 300100,China;Institute of Radiation Medicine,Academy of Military Medical Sciences,Beijing 100850,China;Tianjin University of Chinese Medicine,Tianjin 300193,China;The Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450003,China;The Second Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300250,China)

机构地区：[1]河北中医学院,河北石家庄050200 [2]成都中医药大学附属医院,四川成都610072 [3]南京中医药大学附属医院,江苏南京210029 [4]河南省中医院,河南郑州450002 [5]山东中医药大学附属医院,山东济南250011 [6]北京中日友好医院,北京100029 [7]江西省中医院,江西南昌330012 [8]北京中医药大学东直门医院,北京100700 [9]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [10]广州中医药大学第一附属医院,广东广州510405 [11]天津中医药大学第一附属医院,天津300193 [12]天津市南开医院,天津300100 [13]军事医学科学院,北京100850 [14]天津中医药大学,天津300193 [15]河南中医药大学第三附属医院,河南郑州450003 [16]天津中医药大学第二附属医院,天津300250

出　　处：《中草药》2020年第8期2088-2094,共7页Chinese Traditional and Herbal Drugs

摘　　要：坤立舒~?苦参凝胶具有抗菌消炎的功效,是国内首个阴道用卡波姆凝胶剂。临床上常用于治疗女性下生殖道感染,其安全性和有效性得到高度认可。现代药理学研究表明,苦参凝胶及其主要成分苦参总碱具有抑菌杀虫、抗炎、抗病毒、镇痛止痒、促进黏膜修复、恢复乳杆菌增殖等药理作用。临床研究显示,苦参凝胶单用或联合其他药物治疗细菌性阴道病、外阴阴道假丝酵母菌病、滴虫阴道炎、混合性阴道炎、萎缩性阴道炎,可显著改善患者临床症状,提高疾病的治疗有效率,恢复阴道微生态,降低复发率。此外,对于宫颈人乳头瘤病毒(human papillomavirus,HPV)感染、慢性子宫颈炎患者也具有显著疗效。结合文献证据及临床专家用药经验,对苦参凝胶的药理药效研究、临床研究、临床应用及药物安全性进行归纳总结,形成苦参凝胶临床应用指导意见,以规范临床医生合理应用苦参凝胶治疗女性下生殖道感染。Kunlishu Kushen Gel has antibacterial and anti-inflammatory effects,which is the first vaginal carbomer gel in China.It is commonly used clinically to treat female lower genital tract infections,and its safety and effectiveness have been highly recognized.Modern pharmacological studies show that Kushen Gel and its main component total matrines have pharmacological effects such as antibacterial,insecticidal,anti-inflammatory,antiviral,analgesic and antipruritic,promotion of mucosal repair and restoration of lactobacillus proliferation.Clinical studies show that Kushen Gel used alone or in combination with other drugs on the patients with bacterial vaginosis,vulvovaginal candidiasis,trichomonas vaginitis,mixed vaginitis and atrophic vaginitis,can significantly improve the clinical symptoms,enhance the therapeutic efficiency,restore the vaginal microecology and reduce the recurrence rate.In addition,it also has notable effects on patients with cervical human papillomavirus(HPV)infection and chronic cervicitis.Based on the published evidence and the experience of clinical experts,this paper summarized the pharmacology and pharmacodynamics,clinical research,clinical application and drug safety of Kushen Gel,and then formed the guideline on the clinical application of Kushen Gel,so as to standardize the rational use of Kushen Gel in the treatment of female lower genital tract infection.

关 键 词：苦参凝胶 女性下生殖道感染 阴道微生态 抗菌 抗炎 抗病毒 镇痛止痒 

分 类 号：R285.6[医药卫生—中药学]