2.5.6 细菌性阴道病

评分与重要性等级: B
复习:
2021

Chin He Liu, Zhengzhou

概述:

同义词

细菌性阴道炎

病因和发病机理

尿液的碱化抑制正常菌群，由厌氧菌引起，通常为阴道加特纳菌，而且包括支原体和动弯杆菌。

症状

性交后出现外阴阴道炎，合并鱼腥味分泌物，或者加用KOH时产生鱼腥味（PH>7）。

诊断

依据直接镜检：阴道上皮细胞表面有细菌（线索细胞）、 氨试验呈阳性和培养。

Prevention & Therapy

甲硝唑阴道用片剂：阴道用药500mg，每天1至2次，共7天。

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