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聚维酮碘(“碘伏”)阴道栓剂在念珠菌性和滴虫性阴道炎治疗中的应用。

The use of povidone-iodine ('Betadine') pessaries in the treatment of candidal and trichomonal vaginitis.

作者信息

Henderson J N, Tait I B

出版信息

Curr Med Res Opin. 1975;3(3):157-62. doi: 10.1185/03007997509113664.

DOI:10.1185/03007997509113664
PMID:1149484
Abstract

One hundred and thirty-five women suffering from trichomonal, candidal, or both infections simultameously, were treated with povidone-iodine pessaries, 2 pessaries being inserted nightly. Ninety-nine women were given a 7-day course of treatment, but the results obtained were disappointing, and the authors do not recommend such a regime for routine treatment. Better results were obtained with the recommended 14-day course. A further 36 women suffering from chronic trichomonal and/or canidal infections which had previously resisted orthodox treatment were given a prolonged 28-day course of pessary treatment. The results obtained were very encouraging, 92% of the trichomonal and 96% of the canidal infections being cured. Furthermore, although povidone-iodine is slightly less effective in trichomoniasis, most patients suffering from a chronic infection (candidal, as well as trichomonal) were cured by the one preparation. Side-effects did occur, but were significant in only 3 patients. Subjective symptoms, especially any offensive odour, disappeared within 3 days of the start of the treatment. The authors recommend that the 28-day course of povidone-iodine pessaries is used in those cases where trichomoniasis or candidosis has been a therapeutic problem in the past, particularly if the patient is currently on the oral contraceptive pill.

摘要

135名同时患有滴虫感染、念珠菌感染或两者皆有的女性患者,接受了聚维酮碘阴道栓剂治疗,每晚塞入2枚栓剂。99名女性接受了为期7天的疗程治疗,但结果令人失望,作者不推荐这种治疗方案用于常规治疗。采用推荐的14天疗程获得了更好的效果。另外36名患有慢性滴虫和/或念珠菌感染且先前对传统治疗有抵抗的女性,接受了为期28天的延长阴道栓剂治疗疗程。获得的结果非常令人鼓舞,滴虫感染的治愈率为92%,念珠菌感染的治愈率为96%。此外,尽管聚维酮碘在滴虫病中的疗效略低,但大多数患有慢性感染(念珠菌感染以及滴虫感染)的患者通过单一制剂得到了治愈。确实出现了副作用,但仅3名患者有明显副作用。主观症状,尤其是任何异味,在治疗开始后3天内消失。作者建议,对于过去滴虫病或念珠菌病一直是治疗难题的病例,特别是如果患者目前正在服用口服避孕药,应采用为期28天的聚维酮碘阴道栓剂疗程。

相似文献

1
The use of povidone-iodine ('Betadine') pessaries in the treatment of candidal and trichomonal vaginitis.聚维酮碘(“碘伏”)阴道栓剂在念珠菌性和滴虫性阴道炎治疗中的应用。
Curr Med Res Opin. 1975;3(3):157-62. doi: 10.1185/03007997509113664.
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引用本文的文献

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Strategies for Prevention and Treatment of Trichomonas vaginalis Infections.阴道毛滴虫感染的预防与治疗策略
Clin Microbiol Rev. 2017 Jul;30(3):811-825. doi: 10.1128/CMR.00109-16.
2
Interventions for treating trichomoniasis in women.女性滴虫病的治疗干预措施。
Cochrane Database Syst Rev. 2000;2003(2):CD000218. doi: 10.1002/14651858.CD000218.
3
Treatment off vulvovaginal candidal infection with miconazole-coated tampons.使用咪康唑涂层棉塞治疗外阴阴道念珠菌感染。
Br J Vener Dis. 1980 Dec;56(6):408-11. doi: 10.1136/sti.56.6.408.
4
Cure and relapse with antifungal therapy.抗真菌治疗的治愈与复发
Proc R Soc Med. 1977;70 Suppl 4(Suppl 4):24-32. doi: 10.1177/00359157770700S407.