目的 探討婦膚康噴霧劑聯(lián)合乳桿菌活菌膠囊治療產(chǎn)后陰道炎的臨床療效。方法 選取2015年1月-2017年1月鄭州市第二人民醫(yī)院收治的產(chǎn)后陰道炎患者78例，隨機分為對照組和治療組，每組各39例。對照組患者陰道深部放入陰道用乳桿菌活菌膠囊，1粒/次，1次/d。治療組患者在對照組基礎(chǔ)上外陰噴灑婦膚康噴霧劑，3~5撳/次，2次/d。兩組均持續(xù)治療10 d。評價兩組患者臨床療效，同時比較治療前后兩組患者陰道癥狀、陰道pH值和復發(fā)情況。結(jié)果 治療后，對照組和治療組的臨床有效率分別為76.92%和94.87%，兩組比較差異具有統(tǒng)計學意義（P<0.05）。治療后，兩組患者pH值和陰道炎癥評分較治療前顯著降低，陰道健康狀況評分明顯提高，同組治療前后比較差異具有統(tǒng)計學意義（P<0.05）；且治療后治療組pH值和陰道炎癥評分顯著低于對照組，陰道健康狀況評分高于對照組，兩組比較差異具有統(tǒng)計學意義（P<0.05）。治療后，治療組總復發(fā)率為5.13%，顯著低于對照組的12.82%，兩組比較差異具有統(tǒng)計學意義（P<0.05）。結(jié)論 婦膚康噴霧劑聯(lián)合乳桿菌活菌膠囊治療產(chǎn)后陰道炎可改善陰道局部微環(huán)境，降低復發(fā)率，具有一定的臨床推廣應用價值。

Objetive To investigate the clinical effect of Fufukang Spray combined with live lctobacillus cpsule in treatment of pstpartum vginitis. Methods Patients (78 cases) with pstpartum vginitis in Zhengzhou Second Hospital from January 2015 to January 2017 were randomly divided into control and treatment groups, and each group had 39 cases. Patients in the control group were vagina deeply administered with Live Lactobacillus Capsule for vaginal use, 1 grain/time, once daily. Patients in the treatment group were vulva sprayed administered with Fufukang Spray on the basis of the control group, 3-5 presses/time, twice daily. Patients in two groups were treated for 10 d. After treatment, the clinical efficacy was evaluated, and the vaginal symptoms, vaginal pH, the relapses in two groups before and after treatment were compared. Results After treatment, the clinical efficacy in the control and treatment groups were 76.92% and 94.87% respectively, and there were differences between two groups (P<0.05). After treatment, the vaginal pH and vaginal inflammation symptoms score in two groups was significantly decreased, but the vaginal condition score was obviously increased, and the difference was statistically significant in the same group (P<0.05). After treatment, the vaginal pH and vaginal inflammation symptoms score in the treatment group were lower than those in the control group, but the vaginal condition score was higher than that in the control group, with significant difference between two groups (P<0.05). After treatment, the relapses rate in the treatment group was 5.13%, which was significantly lower than 12.82% in the control group, with significant difference between two groups (P<0.05). Conclusion Fufukang Spray combined with live lctobacillus cpsule in treatment of pstpartum vginitis can significantly improve vaginal microecosystem, reduce the recurrence rate, which has a certain clinical application value.