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[Clinical analysis of bacterial vaginosis in 76 cases]
Objective:
To study the clinical manifestation and treatment of bacterial vaginosis (BV).
Methods:
The criteria used for diagnosis were the presence of clue cells by wet mount slide or gram stain, plus at least 2 of the following 3 signs and symptoms: (1) vaginal discharge with pH > 4.5; (2) an increased thin homogeneous vaginal discharge; (3) positive amine test. From 1994, 1 to 1995, 3, a total of 76 cases with BV who had good follow up were diagnosed and treated by Kejunning (a combination of chinese traditional herb medicine), Shuangzuotai (combined metronidazole vaginal suppository), metronidazole, etc.
Results:
For BV, the presence of clue cells is a prerequisite for diagnosis. Vaginal discharge with pH > 4.5 and positive amine test were present in all the cases. Increased white thin homogeneous vaginal fluid were found in 96.1% (73/76) of the cases. 79.0% of the patients complained of fishy odor vaginal discharge. Treatment with antibiotics or Shuangzuotai were effective. Kejunning had a cure rate of 70.0% one month after treatment.
Conclusions:
The detection of clue cell is an important diagnostic criterion. Besides metronidazole, Kejunning had a good result for the treatment of BV as well.