目的：观察克霉唑阴道片治疗妊娠合并念珠菌性阴道炎的疗效和安全性。方法：106例妊娠合并念珠菌性阴道炎患者随机分为观察组（56例）和对照组（50例）。观察组患者于用药前清洗外阴部，保持洁净，用送药器将克霉唑阴道片1片放入阴道内5～6 cm处，每2日1次；对照组患者于用药前清洁外阴部，用送药器将乳酸菌素阴道胶囊1粒放入阴道内5～6 cm处，每日1次。两组疗程均为8d。治疗期间停止性生活，避免使用其他药物。观察两组患者的临床疗效、念珠菌清除率、妊娠情况及不良反应发生情况。结果：观察组患者总有效率、念珠菌清除率均显著高于对照组，带菌率显著低于对照组，差异均有统计学意义（P＜0.05）。两组患者妊娠情况、不良反应发生率比较，差异均无统计学意义（P＞0.05）。结论：克霉唑阴道片治疗妊娠合并念珠菌性阴道炎疗效显著，可清除念珠菌，安全性较好。%OBJECTIVE:To observe the efficacy and safety of Clotrimazole vaginal tablet in the treatment of pregnancy with vulvovaginal candidiasis. METHODS:106 pregnant patients with vulvovaginal candidiasis were randomly divided into observation group (56 cases) and control group (50 cases). Observation group was given one tablet Clotrimazole vaginal tablet,washed the genital area before treatment to keep clean and one Clotrimazole vaginal tablet was sent to intravaginal 5-6 cm,once every 2 day. Control group was given Lactobacillus vaginal capsule,once a day,washed the genital area before treatment and one Lactobacillus vaginal capsule was sent to intravaginal 5-6 cm. The treatment course for both groups was 8 d. No sexual activities during treatment and no other drugs. Clinical efficacy,clearance rate of candidiasis,pregnancy and incidence of adverse reactions in 2 groups were observed. RESULTS:The total effective rate and clearance rate of candidiasis in observation group were significantly higher than control group,carrier rate was significantly lower than control group,the differences were statistically significant (P0.05). CONCLU-SIONS:Clotrimazole vaginal tablet shows significant efficacy in the treatment of pregnancy with vulvovaginal candidiasis and can clear candidiasis,with good safety.
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