阴道凝胶与雌二醇乳膏治疗绝经后萎缩性阴道炎的疗效比较——一项随机临床试验

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY Current Women s Health Reviews Pub Date : 2023-07-18 DOI:10.2174/1573404820666230718105337
K. Vakilian, Nazila Najdi, R. Bekhradi, M. Shokrpoor, F. Mirzaie, Fatemeh Seydi
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引用次数: 0

摘要

这项研究是为了减少萎缩性阴道炎。本研究旨在比较阴道愈合凝胶和雌激素素对萎缩性阴道炎的疗效。本研究为平行设计的随机临床试验。本研究包括70名绝经后妇女,她们有性交困难,被转诊到伊朗阿拉克的卫生诊所。患者被分配到两组阴道愈合或雌激素。雌激素组给予阴道乳膏0.625 mg/g,经阴道使用2.5 g,连续21晚。在药物休息一周后,再给他们开2.5克阴道内乳膏,连续21晚,然后考虑药物休息一周。Vagiheal组患者在连续7晚睡觉时将涂抹器插入阴道,给予2.5 g的Vagiheal凝胶作为维持治疗,每周2次,持续2个月。在开始治疗前、治疗2周、治疗1个月和治疗后2个月用视觉模拟量表(VAS)测量症状的严重程度。数据分析采用t检验、Mann-Whitney检验、卡方检验和Friedman检验。萎缩性阴道炎随访结果显示,干预后两组患者阴道干燥、瘙痒、烧灼感均值均显著降低(p=0.01);然而,阴道愈合凝胶对性交困难组这些症状的减轻更为明显。看来,Vagiheal凝胶是一种合适的替代萎缩性阴道炎治疗
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Comparing the Effect of Vagiheal Gel and Estromarin Cream on Atrophic Vaginitis in Postmenopausal Women-A Randomized Clinical Trial
This study was done to reduce atrophic vaginitis. This study aimed to compare the effects of Vagiheal Gel and Estromarin in reducing atrophic vaginitis. This study was a randomized clinical trial with a parallel design. 70 postmenopausal women who had dyspareunia and were referred to the health clinics of Arak, Iran were included in this study. Patients were assigned to one of the 2 groups of Vagiheal or Estromarin. The patients in the Estromarin group were provided with 0.625 mg/g vaginal cream for intravaginal use 2.5 grams for 21 nights. After one week of medicinal rest, they were prescribed 2.5 grams of intravaginal cream for another 21 nights, and then, one week of medicinal rest was considered. The patients in the Vagiheal group were prescribed 2.5 grams of Vagiheal Gel by inserting the applicator into the vagina when sleeping for 7 consecutive nights, then as a maintenance treatment for 2 times a week for 2 months. The severity of the symptoms was measured by a visual Analog scale(VAS) before, 2 weeks, 1 month, and 2 months after starting the program. The data were analyzed using T-test, Mann-Whitney, Chi-square, and Friedman test. The results of atrophic vaginitis follow-up processes showed that the mean of dryness, itching, and burning of the vagina in both groups significantly decreased after the intervention (p=0.01); however, the decrease of these symptoms in the dyspareunia group was more obvious in Vagiheal gel. It seems that Vagiheal gel is a suitable alternative to atrophic vaginitis treatment
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来源期刊
Current Women s Health Reviews
Current Women s Health Reviews OBSTETRICS & GYNECOLOGY-
CiteScore
0.70
自引率
25.00%
发文量
67
期刊介绍: Current Women"s Health Reviews publishes frontier reviews on all the latest advances on obstetrics and gynecology. The journal"s aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers in the fields of obstetrics and gynecology.
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