阴道乳酸杆菌对念珠菌生长抑制作用的研究
he Growth Suppression of Vaginal Lactobacilli on Candida
目的 对比外阴阴道念珠菌病患者与正常妇女阴道乳酸杆菌阳性率、菌种分布及产H 2O2能力的异同,初步研究阴道内不同乳酸杆菌对念珠菌不同种属生长抑制能力的差异;方法 将阴道分泌物接种在MRS乳酸杆菌琼脂培养基上、CO2培养箱、37℃培养,并将用微量生化试验鉴定到种的乳酸杆菌接种在H2O2鉴定培养基,观察是否产H 2O2;挑选健康组常见乳酸杆菌,用纸片法测其对阴道不同种念珠菌抑菌圈直径。结果 两组乳酸杆菌在阳性率及分布上无显著性差异(P>0.05);健康组乳酸杆菌产H2O2阳性率明显高于患者组,分别为14例和6例,有显著性差异(P<0.05);四种乳酸杆菌分别对3个种属念珠菌生长抑制作用强弱不同,其中嗜酸乳酸杆菌抑制白念珠菌,热带念珠菌生长作用最明显;干酪乳酸杆菌对近平滑念珠菌生长抑制作用最强。结论 健康人阴道内乳酸杆菌阳性率与VVC患者阴道及分布相似, VVC患者阴道内产H2O2乳酸杆菌减少;不同乳酸杆菌对念珠菌的生长抑制作用不同。
Objective Comparing the distribution and the ability of producing H2O2 between vulvovaginal candidiasis patients and healthy women. Preliminarily study the difference of growth suppression different lactobacilli effect on candida . Methods Vaccinate the vaginal discharge on MRS lactobacilli agar medium and CO2 candle jar. Cultivate at 37℃Test the lactobacilli species by micro-biochemical method. Lactobacilli were inoculated on H2O2 identification medium to identify its H2O2 generation. Select the healthy predominant lactobacilli team to test the diameter of inhibition zone it effect on vagina candida by paper disk method. Result There was no significant difference between the two teams on the positive rate distribution of lactobacilli. (P>0.05).The positive rate of the production of H2O2 of the healthy team was higher significantly than the sick team, 14 and 6 , it had significant difference.(P<0.05).Three of the four lactobacilli had different growth suppression of candida, in which L.acidophilas had the greatest impact on candida albicans and candida tropicalis. And L.casei had the greatest effect on candida parapsilosis . Conclusions The positive rate and distribution of lactobacilli in vagina were similar between healthy people and VVC patients. The H2O2 producing lactobacilli had correlation ship with inhibition of VVC. Different lactobacilli had different growth suppression to candida..
骆志成、陈雯莉、魏玉平
妇产科学微生物学基础医学
阴道乳酸杆菌念珠菌生长抑制
vaginal lactobacilli candida growth suppression
骆志成,陈雯莉,魏玉平.阴道乳酸杆菌对念珠菌生长抑制作用的研究[EB/OL].(2008-04-15)[2025-08-18].http://www.paper.edu.cn/releasepaper/content/200804-541.点此复制
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