【摘要】 目的:探讨滴虫性阴道炎患者治疗依从性与复发率的关系,降低患者的复发率。方法:选取不同治疗依从性的滴虫性阴道炎患者255例,根据治疗依从将其分为依从性良好组(n=123例)和依从性较差组(n=132例),两组患者采取相同治疗,对两组患者的治疗效果进行评价;随访1年统计两组患者复发率;分别于治疗前后统计两组患者的生活质量。结果:治疗依从性良好患者痊愈率和总有效率分别为45.54%和95.94%,依从性较差组分别为35.61%和78.79%,依从性良好者治疗效果明显优于较差者;随访1年,依从性良好患者复发2例,复发率为1.63%,依从性较差者复发9例,复发率为6.82%,依从性良好者复发率明显低于较差者;依从性良好组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康以及总分均明显高于治疗依从性差者。上述比较两组差异有统计学意义(P<0.05)。结论:患者的治疗依从性会对治疗效果以及复发率均产生影响,因此通过适当的干预提高患者的治疗依从性就显得尤为重要。更多还原

【Abstract】 Objectives: To investigate the relationship between the treatment compliance and relapse rates of trichomonas vaginitis patients,in order to reduce the relapse rate of patients. Methods: 255 trichomonas vaginitis patients with different treatment compliance were selected and divided,according to treatment compliance,into good compliance group( n = 123) and poor compliance group( n = 132). Two groups of patients adopted the same treatment,and the treatment effects were evaluated. The relapse rate was surveyed in the two year follow- up,and the quality of life was surveyed before and after treatment. Results: The cure rate and total efficiency of good compliance group were 45. 54% and 95. 94% respectively,and 35. 61% and 78. 79% in the poor compliance group. In the 1- year follow- up,the recurrence rate was 1. 63%( 2 cases) in good compliance group and 6. 82%( 9 cases) in poor compliance group. The physiological function,physical function,bodily pain,general health,vitality,social functioning,role emotional,mental health,and the scores in good compliance group were significantly higher than those in poor compliance group,with statistically significant difference( P < 0. 05). Conclusions: The treatment compliance is related to the treatment effect and relapse rates,so appropriate interventions to improve patient’s compliance are particularly important.更多还原