慢性宫颈感染和发育不良(CIN I, CIN II):阴道维生素D(高剂量)治疗:一种新的有效方法?

Dermato-Endocrinology Pub Date : 2014-01-01 Epub Date: 2014-01-20 DOI:10.4161/derm.27791
C Schulte-Uebbing, S Schlett, Id Craiut, L Antal, H Olah
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引用次数: 12

摘要

在一项小型实践/救护车研究中,我们评估了200名患有慢性复发性宫颈感染和宫颈发育不良(CIN 1, CIN 2)的妇女的数据,这些妇女在初次治疗后接受了维生素D阴道栓剂(12500 IU,每周3晚,持续6周)的治疗。我们发现,与乳酸菌阴道栓剂相比,高剂量维生素D阴道治疗可能更有效。维生素D具有很好的抗炎作用。在六周治疗后的调查中,79%的女性“阴道问题减少了”,“分泌物减少了”,“性交问题减少了”。客观地说,治疗六周后,只有7%的患者仍然有需要治疗的细菌和/或真菌阴道感染。我们发现维生素D可以被阴道粘膜重新吸收,但这种重新吸收可能因人而异。在CIN 1组中,我们发现治疗后6周有良好的抗发育不良作用,在CIN 2组中,我们经常发现没有或只有暂时的抗发育不良作用。因此这种阴道维生素D治疗方法可能是治疗和预防慢性宫颈感染的一种选择,也可能是预防宫颈发育不良CIN 1的一种选择(良好的抗炎作用,抗发育不良作用)。这项小型研究不具有代表性。我们需要更大的研究、更长的时间和更长的随访。注意事项:目前我们还不知道,阴道用12500 IE治疗维生素D是否可以在怀孕期间使用。我们没有经验。因此,我们建议在应用期间有效避孕。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Chronical cervical infections and dysplasia (CIN I, CIN II): Vaginal vitamin D (high dose) treatment: A new effective method?

In a small praxis/ambulance study we evaluated data of 200 women with chronical recurrent cervical infections and with a cervix dysplasia (CIN 1, CIN 2). who got after the primary therapy a treatment with vitamin D vaginal suppositories (12.500 IU, 3 nights a week, for 6 weeks). We found that - when compared with the lactobacillus vaginal suppositories - the high dose vitamin D vaginal treatment might be more effective. Vitamin D showed very good anti-inflammatory effects. In the survey after six weeks therapy 79% of the women had "less vaginal problems," "less discharge" and "less problems with the sexual intercourse." Objectively after six weeks therapy only 7% of the patients still had bacterial and/or fungal vaginal infections that required a treatment. We found that vitamin D is reabsorbed by the vaginal mucosa, but the reabsorption may be individually very different. In the CIN 1 group we found six weeks after treatment good antidysplastic effects, in the CIN 2 group we often found no or only temporary antidysplastic effects. So this vaginal vitamin D treatment method might be an option for the therapy and prevention of chronical cervical infections and maybe of a cervic dysplasia CIN 1 (good antiinflammatory effects, antidysplastic effects). This small study is not representative. We need much bigger studies with much more dates and with a longer follow up. Caution: At the moment we do not know, if the vaginal vitamin D treatment with 12500 IE is possible in pregnancy. We have no experience. Therefore we recommend an effective contraception during the application.

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