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细菌性阴道病:局部阴道用磷酸克林霉素治疗

Bacterial vaginosis: treatment with topical intravaginal clindamycin phosphate.

作者信息

Livengood C H, Thomason J L, Hill G B

机构信息

Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

出版信息

Obstet Gynecol. 1990 Jul;76(1):118-23.

PMID:2193261
Abstract

We tested topical intravaginal clindamycin phosphate at concentrations of 0.1, 1.0, and 2.0% in the treatment of 62 women with symptomatic bacterial vaginosis in a prospective, randomized, double-blind, placebo-controlled trial, and offered open-label treatment with 1.0% clindamycin to patients with persistent disease after blinded treatment. Blinded intravaginal clindamycin phosphate treatment cured bacterial vaginosis in 93.5% (43 of 46) of patients 4-7 days after therapy, compared with 25.0% (four of 16) of patients receiving placebo (P less than .001). One month later, 89.7% (35 of 39) of those who initially responded to clindamycin treatment showed persistent cure. There were no significant side effects.

摘要

在一项前瞻性、随机、双盲、安慰剂对照试验中,我们测试了浓度为0.1%、1.0%和2.0%的阴道局部用磷酸克林霉素治疗62例有症状细菌性阴道病的女性患者,并在盲法治疗后为持续患病的患者提供1.0%克林霉素的开放标签治疗。治疗4至7天后,盲法阴道用磷酸克林霉素治疗使93.5%(46例中的43例)患者的细菌性阴道病得到治愈,而接受安慰剂治疗的患者中这一比例为25.0%(16例中的4例)(P<0.001)。一个月后,最初对克林霉素治疗有反应的患者中有89.7%(39例中的35例)持续治愈。未出现明显副作用。

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引用本文的文献

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Rev Obstet Gynecol. 2009 Winter;2(1):28-37.
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Comparative study of intravaginal metronidazole and triple-sulfa therapy for bacterial vaginosis.阴道内使用甲硝唑与三联磺胺疗法治疗细菌性阴道病的对比研究
Infect Dis Obstet Gynecol. 1996;4(2):66-70. doi: 10.1155/S1064744996000154.
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A pilot clinical trial comparing an acid-buffering formulation (ACIDFORM gel) with metronidazole gel for the treatment of symptomatic bacterial vaginosis.一项比较酸缓冲制剂(ACIDFORM凝胶)与甲硝唑凝胶治疗有症状细菌性阴道病的试点临床试验。
Br J Clin Pharmacol. 2006 Feb;61(2):211-7. doi: 10.1111/j.1365-2125.2005.02550.x.
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Evaluation and management of vaginitis.阴道炎的评估与管理
J Gen Intern Med. 1998 May;13(5):335-46. doi: 10.1046/j.1525-1497.1998.00101.x.
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Treatment of male partners and recurrence of bacterial vaginosis: a randomised trial.男性伴侣的治疗与细菌性阴道病的复发:一项随机试验
Genitourin Med. 1997 Aug;73(4):267-70. doi: 10.1136/sti.73.4.267.
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Treatment of bacterial vaginosis with a three day course of 2% clindamycin vaginal cream: a pilot study.使用2%克林霉素阴道乳膏进行为期三天的疗程治疗细菌性阴道病:一项试点研究。
Genitourin Med. 1994 Apr;70(2):121-3. doi: 10.1136/sti.70.2.121.
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The treatment of bacterial vaginosis with a 3 day course of 2% clindamycin cream: results of a multicentre, double blind, placebo controlled trial. B V Investigators Group.采用2%克林霉素乳膏进行为期3天的疗程治疗细菌性阴道病:一项多中心、双盲、安慰剂对照试验的结果。BV研究组。
Genitourin Med. 1995 Aug;71(4):254-6. doi: 10.1136/sti.71.4.254.
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Clin Microbiol Rev. 1991 Oct;4(4):485-502. doi: 10.1128/CMR.4.4.485.