中医综合疗法治疗青春发育前女童外阴阴道炎的效果评价  

Evaluation of the effect of comprehensive treatment of traditional Chinese medicine on vulvovaginitis in girls before puberty

作　　者：马红芳 柳静[2] 潘宇琛[2] 张淼[2] 舒静[2] MA Hongfang;LIU Jing;PAN Yuchen;ZHANG Miao;SHU Jing(Department of Pediatrics,South Area of Guang'anmen Hospital,Chinese Medical Sciences,Beijing 102618,China;Department of Traditional Chinese Medicine,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]中国中医科学院广安门医院南区儿科,北京102618 [2]首都医科大学附属北京儿童医院,北京100045

出　　处：《西部医学》2022年第5期710-714,共5页Medical Journal of West China

基　　金：国家重点研发计划(2017YFC1703205)。

摘　　要：目的探讨中医综合疗法治疗青春发育前女童外阴阴道炎的临床效果。方法选取中国中医科学院广安门医院南区儿科和首都医科大学附属北京儿童医院小儿妇科门诊2020年5月1日~2020年12月31日收治的首次就诊为外阴阴道炎的青春发育前女童98例为研究对象,以2:1的比例随机分为观察组(中药口服加坐浴的综合疗法)与对照组(口服阿莫西林克拉维酸钾),比较两组临床症状积分和疾病痊愈率、复发率。结果两组患儿治疗前症状评分差异无统计学意义(P>0.05),两组治疗后积分较治疗前均明显下降,临床症状得到显著改善(P<0.001)。观察组与对照组治疗后临床症状积分比较差异无统计学意义(P>0.05)。观察组痊愈率(81.82%)、复发率(16.67%)与对照组痊愈率(87.50%)、复发率(18.75%)比较,差异无统计学意义(均P>0.05)。结论中医综合疗法对青春发育前女童外阴阴道炎的临床疗效不劣于传统的口服抗生素,可推广应用于排除了阴道异物、蛲虫等特异性阴道炎的儿童。Objective To explore the clinical effect of comprehensive treatment of traditional Chinese medicine in the treatment of vulvovaginitis in girls before puberty.Methods 98 prepubescent girls with vulvovaginitis admitted to the Department of Pediatrics,Southern District,Guang'anmen Hospital,China Academy of Chinese Medical Sciences and Pediatric Gynecology Clinic,Beijing Children's Hospital,Capital Medical University from May 1,2020 to December 31,2020,were randomly divided into the observation group at a ratio of 2:1(Comparing the clinical symptom scores)and the disease recovery rate and recurrence rate of the two groups with the control group(oral amoxicillin and clavulanate potassium).Results There was no significant difference in symptom scores between the two groups before treatment(P>0.05).After treatment,the scores of the two groups were significantly lower than before treatment,and the clinical symptoms were significantly improved(P<0.001).The observation group and the control group had clinical symptoms after treatment.There was no statistically significant difference in score comparison(P>0.05).Comparing the cure rate(81.82%)and recurrence rate(16.67%)of the observation group with the cure rate(87.50%)and recurrence rate(18.75%)of the control group,there were no statistically significant differences(P>0.05).Conclusion The clinical efficacy of traditional Chinese medicine on vulvovaginitis in prepubertal children is not inferior to that of antibiotics,and it can be popularized for prepubertal vulvovaginitis children without specific vaginitis such as vaginal foreign bodies and pinworms.

关 键 词：女童外阴阴道炎 细菌培养 中医综合疗法 临床效果 

分 类 号：R272.6[医药卫生—中医儿科学]