The Study Of TCM Syndrome Types Of Securrent Vulvovaginal Candidiasis And Candida Strains Distribution Relationship

Objective:The clinical investigation and study method, this paper discusses recurrent vulva vagina candida disease (recurrent vulvovaginal candidiasis, RVVC) of TCM syndrome type distribution, analysis of VVC recur card type, etiology in RVVC pathogenic strain at the same time, the type of syndrome and relation between the etiology of recurrent vulva vagina candida disease of evidence-based medicine to provide objective basis.Materials and methods:Cases of this study comes from fujian province second people’s hospital outpatient service of department of gynaecology, collected between January2013and December2013, included in the standard of80cases of patients with RVVC. In all patients, in accordance with the "recurrent vulva vagina candida four diagnostic information collection table", the questionnaire survey conducted by fixed professionals of traditional Chinese medicine, and the44cases of client candida strains cultivation and identification of leucorrhea, investigate the relationship between RVVC TCM syndrome type and pathogenic strains.Results:1. The survey collected diagnosed patients,80cases of RVVC. Age from20to47, average age33.41+/-6.98,27,33,33cases, accounting for41.2%; Ordinary staff in the occupational distribution of25cases, accounting for31.3%; Contraception use condoms in36cases, accounting for45.0%; Eating habits of mind spicy (27cases), fry, roast and (30cases) accounted for71.3%; Antibiotics, nearly1month not users61.2%; Month,4,5,6,7, in August, a total of61cases, accounted for67.5%; Come on time, within7days after menstruation clean relapses38cases, accounting for47.5%.2. The characteristics of TCM syndrome type distribution of RWC:treating the38cases, accounting for47.5%; Spleen deficiency of30patients (37.5%), Wet poison accumulate knot the9cases, accounting for11.2%; Yin deficiency of3cases, accounted for3.8%, kidney Yang deficiency syndrome0cases, accounting for0.0%.3.44cases of patients for the cultivation and identification of candida strains, test results: white candida37cases, accounting for84.1%; Smooth candida in2cases, accounting for9.1%; Not detect fungi in2cases (4.5%); E. coli in1case, accounting for2.3%.4. RVVC TCM syndrome type and etiology association study shows:RVVC pathogenic strain distribution to compare differences between different syndrome types have significant statistical significance (P<0.01).Conclusions:1.The onset of RVVC patients aged from20to47,27-set up to33years old, accounted for41.2%, prompt RVVC in childbearing age women sexually active stage.2. The characteristics of TCM syndrome type distribution of RVVC:treating proved to be one of the most common clinical syndrome (47.5%), spleen deficiency, wet poison accumulate knot, Yin deficiency of less.3. The main pathogenic bacteria RVVC is still white candida, same as the main pathogenic bacteria VVC.4. RVVC pathogenic strains associated with TCM syndrome type:white RVVC bet in hot and humid caused by candida (48.6%), followed by (43.2%) as the main syndrome types. Smooth candida RVVC, treating (50%), wet poison wenjie (25%), spleen deficiency (25%); Suggests treating RVVC for TCM syndrome types in the type of the most easy to relapse.