基础医学与临床 ›› 2024, Vol. 44 ›› Issue (5): 714-718.doi: 10.16352/j.issn.1001-6325.2024.05.0714

• 临床研究 • 上一篇    下一篇

口服益生菌对妊娠期阴道炎患者阴道菌群的影响

宋敏1, 张玉萍2, 朱萍1, 杨秋红1, 张素霞1, 刘翠英1, 刘燕萍2*   

  1. 1.山东第一医科大学附属济南妇幼保健院 妇产科,山东 济南 250218;
    2.中国医学科学院 北京协和医学院 北京协和医院 临床营养科,北京 100730
  • 收稿日期:2024-02-26 修回日期:2024-03-19 出版日期:2024-05-05 发布日期:2024-04-23
  • 通讯作者: *liuyp1227@vip.sina.com
  • 基金资助:
    中国医药教育协会-药教协项目([2021]第016号)

Effect of oral probiotics on vaginal microbiota in patients with vaginitis during pregnancy

SONG Min1, ZHANG Yuping2, ZHU Ping1, YANG Qiuhong1, ZHANG Suxia1, LIU Cuiying1, LIU Yanping2*   

  1. 1. Department of Obstetrics and Gynecology, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan 250218;
    2. Department of Clinical Nutrition, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730,China
  • Received:2024-02-26 Revised:2024-03-19 Online:2024-05-05 Published:2024-04-23
  • Contact: *liuyp1227@vip.sina.com

摘要: 目的 评价口服含4种乳杆菌菌株的益生菌胶囊对妊娠期阴道炎患者阴道菌群的影响及辅助治疗效果。方法 共纳入395例,对照组(n=171,抗生素),接受7 d抗生素治疗。联合组(n=224,抗生素+益生菌),抗生素与益生菌联合应用7 d后,继续每天口服1粒益生菌,共28 d。两组患者在研究入组和第28天时各接受1次阴道菌群检查及临床效果评估,比较两组阴道乳杆菌变化和辅助治疗效果。结果 两组患者阴道乳杆菌比例和疗效差异明显(P<0.05),联合组和对照组有效率分别为90.2%、86.0%,治愈率分别为30.4%、19.3%。结论 口服含乳杆菌菌株的益生菌可以增加妊娠期阴道炎患者阴道乳杆菌比例,辅助治疗妊娠期阴道炎效果良好。

关键词: 口服益生菌, 乳杆菌, 妊娠, 阴道炎, 阴道菌群

Abstract: Objective To evaluate the effect of oral probiotics containing 4 strains of lactobacillus on the vaginal microbiota and adjuvant treatment effect of patients with vaginitis during pregnancy. Methods A total of 395 cases were included, 171 cases in the control group received 7 days of antibiotic treatment, and 224 cases in the combined treatment group. After the combined use of antibiotics and probiotics for 7 days, they continued to take 1 probiotic pill daily for the 28th day. The patients received a vaginal microecological examination and clinical evaluation at study entry and 28 days to compare the vaginal lactobacillus between the two groups. Results There was a statistical difference in the proportion of vaginal lactobacillus and the efficacy of treatment between the two groups of patients (P<0.05). The effective rates in the combined treatment group and the control group were 90.2% and 86.0% respectively, and the cure rates were 30.4% and 19.3% respectively. Conclusions Oral probiotics containing lactobacillus strains can increase the proportion of vaginal lactobacillus in patients with vaginitis during pregnancy which significantly facilitated the clinical treatment of vaginitis during pregnancy.

Key words: oral probiotics, lactobacillus, pregnancy, vaginitis, vaginal microbiota

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